The public's perspectives on advance directives: implications for state legislative and regulatory policy

Health Policy
Keshia M PollackMichael A Williams

Abstract

Determine the prevalence of advance directives (ADs) in Maryland and identify the barriers and enablers to their adoption, in order to guide the formulation of state legislative policy. Cross-sectional survey administered over the telephone to a representative age-stratified random sample of 1195 Maryland adults. Approximately 34% (n=401) of Maryland adults reported having an AD. Older adults (65+ years) were more likely than younger adults (18-64 years) to have ADs (p<0.001); the proportional difference between those with and without ADs diminished as age increased. Two times as many Whites than Blacks reported having ADs (43-23%; p<0.001). Of those who had an AD, the primary motivations for creating one was a personal medical condition or a diagnosis to one's self or a family/friend (41%). Those without ADs identified lack of familiarity with them (27%), being too young or healthy to need one (14%), or uncertainty of the process for adopting one (11%) as reasons for not having one. Barriers to AD adoption appear amenable to policy interventions. Policies that seek to increase access and ensure ease of enrollment, combined with a targeted public health advocacy campaign, may help increase the prevalence of ADs.

References

Nov 1, 1996·Journal of General Internal Medicine·E D McKinleyM Danis
Jun 16, 2000·Journal of the American Geriatrics Society·F P Hopp, S A Duffy
Oct 8, 2003·Journal of Gerontological Nursing·Barbara A Brown
Oct 8, 2003·The American Journal of Hospice & Palliative Care·William J McAuley, Shirley S Travis
Apr 22, 2004·Journal of Critical Care·Rakesh V PatelDeborah J Cook
Aug 31, 2004·Journal of General Internal Medicine·Lawrence S WissowJonathan P Weiner
Feb 8, 2005·The Gerontologist·Nikki Ayers HawkinsWilliam D Smucker
Feb 17, 2007·Journal of the American Geriatrics Society·Sharda D RamsaroopRonald D Adelman
Aug 25, 2007·Annual Review of Medicine·Linda L Emanuel
Jan 4, 2008·Journal of General Internal Medicine·Ursula K BraunLaurence B McCullough
Feb 20, 2008·Palliative & Supportive Care·Kimberly S ReynoldsKaren E Steinhauser
Feb 22, 2008·Journal of Gerontological Nursing·Marianne MatzoMary Outwater
Jul 2, 2008·Annals of Internal Medicine·Jeffrey T BergerJack Schwartz
Sep 6, 2008·Journal of the American Geriatrics Society·Kimberly S JohnsonJames A Tulsky

❮ Previous
Next ❯

Citations

Oct 20, 2012·Health Economics, Policy, and Law·Lawrence D Brown
Jun 19, 2013·Journal of Palliative Medicine·Natasja J H RaijmakersAgnes van der Heide
Apr 20, 2013·American Journal of Public Health·Dan K Morhaim, Keshia M Pollack
Feb 21, 2014·The Journal of Medicine and Philosophy·Hilde Lindemann, James Lindemann Nelson
Nov 15, 2012·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Sara M Moorman, Megumi Inoue
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Niels Douglas MartinMichael S Weinstein
Apr 17, 2014·The Gerontologist·Megumi Inoue, Sara M Moorman
Jan 26, 2016·Journal of the American Geriatrics Society·Terri R FriedLynne Iannone
Dec 21, 2013·American Journal of Preventive Medicine·Jaya K RaoJeffrey P Laux
Feb 6, 2013·Journal of the American Geriatrics Society·Katherine R WaiteMichael K Paasche-Orlow
Feb 1, 2015·Journal of Pain and Symptom Management·Pesach ShvartzmanSasson Menahem
May 6, 2015·Osong Public Health and Research Perspectives·Sunmi LimHyun Sook Lee
Aug 17, 2016·International Journal of Environmental Research and Public Health·Qiu ZhangQing Liu
Sep 3, 2016·Journal of Gerontological Social Work·Megumi Inoue
Oct 18, 2016·Journal of Critical Care·Panagis Galiatsatos
Sep 7, 2016·Journal of Gerontological Social Work·Huei-Wern Shen, Nidhi Khosla
Mar 13, 2015·Palliative Medicine·Alexander K LeungStephen W Hwang
May 23, 2015·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Jaewon Park, Jun-Ah Song
Sep 15, 2016·The American Journal of Hospice & Palliative Care·Yuri JangMiyong T Kim
Apr 23, 2015·The American Journal of Hospice & Palliative Care·Nidhi KhoslaKarla T Washington
Jan 31, 2019·International Journal of Environmental Research and Public Health·Carmen W H ChanMichael M K Sham
Jul 20, 2016·Animal : an International Journal of Animal Bioscience·P MartínJ Krieter
Apr 25, 2019·BMC Geriatrics·Anne Cattagni KleinerLaurence Seematter-Bagnoud
Aug 24, 2020·Applied Psychology. Health and Well-being·Rachael Spalding
Feb 27, 2014·Medicine, Health Care, and Philosophy·Hamdan Al-JahdaliGhiath Al-Ahmad
Mar 1, 2016·BMC Public Health·Natalie C ErnecoffSteven M Albert
Sep 2, 2017·Southern Medical Journal·Pascal J de CaprariisClaudia Lyon
Aug 29, 2017·The American Journal of Hospice & Palliative Care·Jennifer L Tripken, Cathy S Elrod
Feb 3, 2016·Critical Care Nurse·JoAnn Grif Alspach
Apr 1, 2020·Gerontology & Geriatrics Education·Maria T CarneyRenee Pekmezaris
Nov 10, 2020·Medical Decision Making : an International Journal of the Society for Medical Decision Making·John M Friend, Dana L Alden
Dec 17, 2020·The American Journal of Hospice & Palliative Care·Jennifer L WolffUNKNOWN SHARING Choices Investigators
Jan 26, 2021·Journal of Social Work in End-of-life & Palliative Care·Colleen GalambosGreg Petroski
Dec 7, 2020·Journal of the American Geriatrics Society·Ruben GonzalezMichael Mason

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Ellen P McCarthyJoanne M Murabito
Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Katharina A KiernerHerbert H Watzke
© 2021 Meta ULC. All rights reserved