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Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie 1/2007

01-02-2007 | Artikel

Een cultuurvergelijkend onderzoek naar behandelbesluiten van artsen met betrekking tot demente verpleeghuispatiënten met pneumonie

Auteurs: M. R. Helton, J. T. van der Steen, T. P. Daaleman, G. R. Gamble, M. W. Ribbe

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 1/2007

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Abstract

A cross-cultural study of physician treatment decisions for demented nursing home patients who develop pneumoniaThis qualitative interview study in the Netherlands and North Carolina (US) found that physician treatment decisions are influenced by contextual differences in physician training and healthcare delivery in the US and the Netherlands. Dutch physicians treating nursing home residents with dementia and pneumonia assumed active, primary responsibility for treatment decisions while US physicians were more passive and deferential to family preferences, even in cases where they considered the families’ wishes inappropriate. Dutch physicians knew their patients well and made treatment decisions based on what they perceived was in the best interest of the patient while US physicians reported limited knowledge of their nursing home patients due to a lack of contact time. Efforts to improve care for patients with poor quality of life who lack decision-making capacity must consider the context of societal values, physician training, and the processes by which physicians negotiate patient and family preferences.
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Metagegevens
Titel
Een cultuurvergelijkend onderzoek naar behandelbesluiten van artsen met betrekking tot demente verpleeghuispatiënten met pneumonie
Auteurs
M. R. Helton
J. T. van der Steen
T. P. Daaleman
G. R. Gamble
M. W. Ribbe
Publicatiedatum
01-02-2007
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 1/2007
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/BF03074818

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