Lawrence J. Schneiderman, MD; Richard Kronick, MD; Robert M. Kaplan, MD
Schneiderman LJ, Kronick R, Kaplan RM. Offering Advance Directives. Ann Intern Med. 1993;118:573-574. doi: 10.7326/0003-4819-118-7-199304010-00032
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Published: Ann Intern Med. 1993;118(7):573-574.
To Drs. Hardin and Loo, we point out that our study did not measure the effect of the advance directive but only the effect of offering the advance directive. We are now studying the possible effect this document has on doctor-patient discussions. Contacts between investigators and patients in the control arm and intervention arm were identical, consisting of periodic interviews to elicit the data described. There was scrupulous attention to avoid influencing patient attitudes and treatment decisions. All patients who asked medical questions were advised to contact their physicians. We are unable to assess the differences in the quantity of discussions about treatment preferences between the two groups.
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