Completion rate of physician orders for life-sustaining treatment for patients with metastatic or recurrent cancer: a preliminary, cross-sectional study
DC Field | Value | Language |
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dc.contributor.author | Kim, Ju Won | - |
dc.contributor.author | Choi, Jung Yoon | - |
dc.contributor.author | Jang, Won Jin | - |
dc.contributor.author | Choi, Yoon Ji | - |
dc.contributor.author | Choi, Youn Seon | - |
dc.contributor.author | Shin, Sang Won | - |
dc.contributor.author | Kim, Yeul Hong | - |
dc.contributor.author | Park, Kyong Hwa | - |
dc.date.accessioned | 2021-09-01T01:53:42Z | - |
dc.date.available | 2021-09-01T01:53:42Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2019-10-22 | - |
dc.identifier.issn | 1472-684X | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/62178 | - |
dc.description.abstract | Background "End of life" is a difficult topic of conversation in East Asian cultures, even among patients and doctors who share a good rapport. In 2016, the Hospice, Palliative Care, and Life-Sustaining Treatment Decision-Making Act, which took the form of "Physician Orders for Life-Sustaining Treatment," was introduced in South Korea. This study was conducted to investigate the completion rate of Physician Orders for Life-Sustaining Treatment in patients with advanced cancer on the active recommendation of physicians, as well as patients' general attitudes toward end-of-life care. Methods We conducted a preliminary, cross-sectional descriptive survey on patients with advanced cancer. A total of 101 patients with advanced solid cancer agreed to participate in the study. The primary endpoint was the rate of completion of Physician Orders for Life-Sustaining Treatment based on a doctor's suggestion. Written interviews were conducted to understand the perceptions and factors influencing patients' decisions. Results Of the 101 patients, 72 (71.3%) agreed to prepare Physician Orders for Life-Sustaining Treatment. Patients who had an educational level of high school or higher were more likely to agree to complete Physician Orders for Life-Sustaining Treatment documentation as compared to the lower educational status group. More than half of the respondents who completed Physician Orders for Life-Sustaining Treatment documentation reported that they had more than a fair understanding of "life-sustaining care" or "Physician Orders for Life-Sustaining Treatment." Participants' reasons for Physician Orders for Life-Sustaining Treatment completion were diverse. Conclusions We found that highly educated patients, who understood the concept behind the policy well, tended to accept Physician Orders for Life-Sustaining Treatment without hesitation. Better education, information shared through the media, and conversations with health care providers might improve understanding of Physician Orders for Life-Sustaining Treatment in patients with cancer. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.subject | DECISION | - |
dc.title | Completion rate of physician orders for life-sustaining treatment for patients with metastatic or recurrent cancer: a preliminary, cross-sectional study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Yoon Ji | - |
dc.contributor.affiliatedAuthor | Choi, Youn Seon | - |
dc.contributor.affiliatedAuthor | Shin, Sang Won | - |
dc.contributor.affiliatedAuthor | Kim, Yeul Hong | - |
dc.contributor.affiliatedAuthor | Park, Kyong Hwa | - |
dc.identifier.doi | 10.1186/s12904-019-0475-9 | - |
dc.identifier.scopusid | 2-s2.0-85073718740 | - |
dc.identifier.wosid | 000492367500001 | - |
dc.identifier.bibliographicCitation | BMC PALLIATIVE CARE, v.18, no.1 | - |
dc.relation.isPartOf | BMC PALLIATIVE CARE | - |
dc.citation.title | BMC PALLIATIVE CARE | - |
dc.citation.volume | 18 | - |
dc.citation.number | 1 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Health Care Sciences & Services | - |
dc.relation.journalWebOfScienceCategory | Health Policy & Services | - |
dc.subject.keywordPlus | DECISION | - |
dc.subject.keywordAuthor | Physician orders for life-sustaining treatment | - |
dc.subject.keywordAuthor | End-of-life care | - |
dc.subject.keywordAuthor | Advance directives | - |
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