代理医疗决策:国家调查
Andrew Ian-Hong Phua1,2, Camellia Zakaria3, Pavithren Vs Pakianathan4,5
1National University Health System, Singapore drewphua@gmail.com.
BMJ supportive & palliative care
|December 5, 2024
概括
新加坡的大多数成年人帮助他人做出医疗决策和日常生活任务. 这种非正式的照顾,虽然很常见,但会增加照顾者的负担和滥用权力的风险.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 人口老龄化和日益增长的护理需求需要成年人为他人做出医疗决定.
- 代理医疗决策显著影响患者的治疗和终身护理.
研究的目的:
- 为了确定在新加坡代理医疗决策的普遍性.
- 确定与这种做法相关的人口和护理相关因素.
主要方法:
- 进行了一项跨部门在线调查.
- 311名新加坡居民的全国代表性样本参与了调查.
- 实现了80%的参与率.
主要成果:
- 73%的受访者在医疗决策方面得到了帮助,58%的受访者在日常生活活动 (ADLs) 中得到了帮助,88%的受访者在工具性ADLs (IADLs) 中得到了帮助.
- 数字照顾者账户,持久授权,以及协助ADL/IADL与代理决策有关.
- 没有观察到性别,种族,收入或年龄的显著影响.
结论:
- 大多数新加坡成年人参与照顾和代理医疗决策.
- 这些非正式的帮助行为可能会增加照顾者的负担,并引起人们对潜在的权力滥用的担忧.
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