Advance directives: from the perspective of the patient and the physician.

摘要: American physicians and patients share some common ground in their perspectives on advance directives. The majority both groups strongly endorse the use of these documents. Both believe it is physician's responsibility to initiate discussion about However, a gap between two can be defined. In end-of-life decision making, balance ethical principle patient autonomy with other principles such as appropriate withholding care setting futility. Patients' preferences for are most influenced by expected outcomes. Physicians tend selective indications initiating directives, according clinical factors. contrast, want discuss directives physician under all circumstances.