TY - JOUR
T1 - Research report a preliminary analysis of medical futility decisionmaking
T2 - Law and professional attitudes
AU - Wiener, Richard L.
AU - Eton, David
AU - Gibbons, Vincent P.
AU - Goldner, Jesse A.
AU - Johnson, Sandra H.
PY - 1998
Y1 - 1998
N2 - Judicial decisions reviewed in this article indicate that courts have taken two disparate approaches to disputes over futility of treatment. To explore whether a consensus on medical futility is developing among hospitals, the authors conducted a nationwide survey of health care professionals at hospitals. Respondents assigned importance ratings to factors used in recent futility decisions made at their institutions. The resulting importance ratings showed significant variation by characteristics of the institution (comparing respondents from for-profit, not-for-profit, and government hospitals) and by profession of the respondent (comparing physicians and nurses). The respondents' judgments endorsed three distinct strategies for making futility decisions (i.e., emphasis on the patient's decision preferences, providing for the patient and family, and adhering to objective medical and social norms).
AB - Judicial decisions reviewed in this article indicate that courts have taken two disparate approaches to disputes over futility of treatment. To explore whether a consensus on medical futility is developing among hospitals, the authors conducted a nationwide survey of health care professionals at hospitals. Respondents assigned importance ratings to factors used in recent futility decisions made at their institutions. The resulting importance ratings showed significant variation by characteristics of the institution (comparing respondents from for-profit, not-for-profit, and government hospitals) and by profession of the respondent (comparing physicians and nurses). The respondents' judgments endorsed three distinct strategies for making futility decisions (i.e., emphasis on the patient's decision preferences, providing for the patient and family, and adhering to objective medical and social norms).
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U2 - 10.1002/(sici)1099-0798(199823)16:4<497::aid-bsl315>3.0.co;2-w
DO - 10.1002/(sici)1099-0798(199823)16:4<497::aid-bsl315>3.0.co;2-w
M3 - Article
C2 - 9924768
AN - SCOPUS:0032440336
SN - 0735-3936
VL - 16
SP - 497
EP - 508
JO - Behavioral Sciences and the Law
JF - Behavioral Sciences and the Law
IS - 4
ER -