Similarity, agreement, and assumed similarity in proxy end-of-life decision making.

摘要: Medical decisions near the end of life are often made by proxies who can be inaccurate in their judgments patient preferences. Given that accuracy surrogate decision making is an important goal end-of-life making, and light previously seen levels reflect substantial disagreement, error, or both, this study examined both relationship individual factors potentially affect accuracy. Specifically, similarity, agreement, assumed similarity-a process whereby raters use own traits preferences to rate another person-in spousal ratings treatment. This expands on previous research examining potential influence similarity among a sample newlyweds. Newly married couples (n = 197) completed self spouse measures hypothetical scales assessing marital satisfaction, personality, attitudes. Results indicate moderate level husband wife self-rated treatment (rs .18-.29) agreement between proxy .17-.41). The largest correlations were (e.g., preferences, rs .46-.69), reflecting strong ratings. For wives, with husbands few attitudinal variables (i.e., spirituality, moral strictness, conservatism) influenced Recognizing impact personal ratings, as well factors, may help improve care for patients families.