You are here: MEDICA Portal. MEDICA Magazine. Archive. USA.
Majority Without Advance Medical Directives
Younger adults and blacks were less likely than older adults and whites, respectively, to report having an advance directive, which includes the living will and health care power of attorney. Advance directive is an end-of-life planning tool that provides instructions for types of medical treatment that are desired and/or who can make decisions about medical care should someone be unable to do so for him or herself.
While 34 percent of all respondents had an advance directive, 61 percent indicated they have preferences about medical care in the event they are unable to make such decisions. The primary reasons reported for not having an advance directive include being unfamiliar with them, feeling too healthy to need one, or, for the younger adults, being too young to need one. Forty percent of adults surveyed reported that they would like to obtain information on advance medical directives from a physician; however, only twelve percent of the respondents with advance directives reported obtaining it from their doctor.
“These results support a need for legislative and regulatory changes to increase the number of people with advance directives,” said Dan Morhaim, one of the study authors. “We need to make sure that people know where to get medical directives and why it’s important to complete them.”
Research has shown the benefits of advance directives include improved quality at the end-of-life, fewer burdens on family and health care providers, and a reduced need for life-sustaining treatment. Lead study author Keshia Pollack added “These findings suggest a disconnect between what people want in the event they are unable to make medical decisions for themselves, and their actions to ensure their preferences are actually carried out.”
The population-based cross-sectional telephone survey included 1,195 adult Maryland residents. In addition to being asked whether they have an advance directive, respondents were asked where they had received information on them, and where they would like to receive such information. "While these results are specific to Maryland, they are relevant to other areas of the country with the factors that lead to or hinder completion of advance directives,” said Pollack.
MEDICA.de; Source: Johns Hopkins University Bloomberg School of Public Health