Life-Sustaining Treatment Preferences

Matches and Mismatches Between Patients’ Preferences and Clinicians’ Perceptions Better clinician understanding of patients’ end-of-life treatment preferences has the potential for reducing unwanted treatment, decreasing health care costs, and improving end-of-life care. Conclusion: Clinicians erred more often about patients’ wishes when patients did not want treatment than when they wanted it. Treatment decisions based on clinicians’ […]

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Getting to “No”

Strategies Primary Care Physicians Use to Deny Patient Requests Physicians need strategies for addressing patient requests for medically inappropriate tests and treatments. We examined communication processes that physicians use to deal with patient requests of questionable appropriateness. Conclusion: Strategies for saying no may be used to communicate appropriate care plans, to reduce provision of medically inappropriate […]

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