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首页> 外文期刊>Journal of Rural Health >Urban/Rural Differences in Decision Making and the Use of Advance Directives Among Nursing Home Residents at Admission
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Urban/Rural Differences in Decision Making and the Use of Advance Directives Among Nursing Home Residents at Admission

机译：入院疗养院居民决策中的城乡差异和预先指示的使用

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Context: Advance directives promote patient autonomy and encourage greater awareness affinal care options while reducing physician and family uncertainty regarding patient preferences. Purpose: To investigate differences in decision making authority a nd the use of advance directives among nursing home residents admitted from urban and rural areas, Methods: A total of 551,208 admission assessments in the Minimum Data Set were analyzed for all residents admitted to a nursing facility in 2001, Using the Rural Urban Commuting Areas (RUCA) methodology and ZIP code of primary residence before admission, these residents were classified into 4 urban/rural areas. Findings: Residents from rural areas were significantly more likely to have executed a durable p ower of attorney for health care or for financial decisions than residents admitted from the other areas, with the largest differences observed between residents admitted from urban and rural areas. Almost 6 residents in 10 from urban areas had no advanc e directives in place at admission compared with only 4 residents in 10 admitted from rural areas. Conclusions: Health providers and social workers in both rural and urban areas should advise patients about the value of advance directives.
机译：背景：预先医疗指示可促进患者的自主权，并鼓励他们提高对仿生护理的认识，同时减少医生和家人对患者偏好的不确定性。目的：调查决策授权与城市和农村地区收养的疗养院居民之间在使用预先指示方面的差异，方法：在最低数据集中，对入院的所有居民进行了551,208份入院评估分析2001年，使用农村城市通勤区（RUCA）方法和主要居民的邮政编码在入场前将这些居民分为4个城市/农村地区。调查结果：与其他地区的居民相比，农村地区的居民执行医疗或财务决策的持久性律师的可能性要高得多，其中城乡居民的差异最大。来自市区的10人中有近6位居民在入院时没有任何先进的指示，而来自乡村地区的10人中只有4位居民入学。结论：城乡地区的卫生保健提供者和社会工作者应向患者提供有关预先医疗指示的价值的建议。

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