The influence of medical enduring power of attorney and advance directives on decision making by Australian intensive care doctors

摘要: OBJECTIVE: Despite government encouragement for patients to make advance plans medical treatment, and the increasing numbers of who have done this, there is little research that examines how doctors regard these plans. DESIGN: We surveyed Australian intensive care doctors, using a hypothetical clinical scenario, evaluate potential end-of-life treatment decisions might be influenced by planning - appointment enduring power attorney (MEPA) or an plan (ACP). Using open-ended questions we sought explore reasoning behind doctors' decisions. RESULTS: 275 surveys were returned (18.3% response rate). found opinions expressed MEPA ACP some influence on decisions, but had major reservations. Most did not follow request palliation made in scenario. CONCLUSIONS: Many believe remain MEPAs ACPs need only respected when they accord with doctor's decision. This study suggests further education particularly those working care, are responsible initiating maintaining life support treatment. (author abstract)