Physicians' Involvement with the New York State Health Care Proxy

This study examined physicians' attitude, involvement, and perceived barriers with the health care proxy. A cross sectional, correlational design was used to survey practicing physicians (N = 70). Physicians had positive attitudes toward the health care proxy and indicated that the most signifi...

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Bibliographic Details
Published in:Educational gerontology 2011-08, Vol.37 (8), p.674-686
Main Authors: Heyman, Janna C., Sealy, Yvette M.
Format: Article
Language:English
Subjects:
Civil Rights
Decision Making
Empowerment
Health care
Health Services
Multiple Regression Analysis
New York
Nurses
Participation
Patients
Patients rights
Physician Patient Relationship
Physicians
Predictor Variables
Regression analysis
Social Work
Terminal Illness
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Summary:This study examined physicians' attitude, involvement, and perceived barriers with the health care proxy. A cross sectional, correlational design was used to survey practicing physicians (N = 70). Physicians had positive attitudes toward the health care proxy and indicated that the most significant barriers to health care proxy completion were patient discomfort in discussing the topic, patient knowledge about the health care proxy, and timing of discussions. Physician involvement with the health care proxy included supporting patients' wishes on the health care proxy, initiating discussions with patients about the New York State (NYS) health care proxy, and advocating for patients' rights about the health care proxy. A multiple regression analysis was conducted to understand the factors that predicted overall physician involvement. End-of-life training was a significant predictor. Implications for training and education of physicians and multidisciplinary work with health care professionals, including social workers and nurses, are discussed.
ISSN:0360-1277
1521-0472
DOI:10.1080/03601271003723388