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首页> 外文期刊>Journal of health politics, policy and law >Public information and private search: evaluating the Patient Self-Determination Act.
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Public information and private search: evaluating the Patient Self-Determination Act.

机译：公共信息和私人搜索：评估《患者自决法案》。

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摘要

Despite substantial regulatory efforts to improve consumer information regarding health and health care, little is known about the impact of such efforts on consumer behavior. This article examines the effect of federal legislation to enhance consumer information regarding the use of life-sustaining technology in end-of-life medical treatment decision making. Using a unique set of data abstracted from the medical records of six hundred elderly patients in nursing homes, the study finds a substantial impact of the law in promoting improved documentation of patient wishes for end-of-life medical care. Further, the data reveal that the effect of the law varies among identifiable subgroups. Consistent with the theory of search, the article demonstrates that the effects of regulatory efforts that promote the public provision of consumer information are greatest among individuals for whom information is most beneficial but for whom private search is costly. Implications for health policy are discussed.
机译：尽管在改善消费者有关健康和保健方面的信息方面作出了巨大的监管努力，但对于这种努力对消费者行为的影响知之甚少。本文研究了联邦立法对在生命周期结束的医疗决策中使用生命维持技术的消费者信息的增强作用。该研究使用从养老院中六百名老年患者的病历中摘录的一组独特数据，发现该法律在促进改善患者对临终医疗的意愿的记录方面具有重大影响。此外，数据表明，法律的效果在可识别的亚组中有所不同。与搜索理论相一致，该文章证明了促进公众提供消费者信息的监管工作的效果在信息最受益但私人搜索成本很高的个人中最大。讨论了对卫生政策的影响。

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