PHIELD
The Influence of Physicians' Attitudes and Behaviors on Patient Outcomes
at the End of Life
Funded by: Hartford/Jahnigen Center of Excellence Faculty Development Award
Project Period: 7/98 - 6/00
Surveys of 250 seriously-ill, hospitalized adults and 560 practicing internists
in 5 Denver hospitals were developed to study patients' perceptions of physicians'
counseling behaviors near the end-of-life, and physicians' perceptions of the
same counseling behaviors. Physicians were also asked patient scenarios to
determine views about medical futility. Patient outcomes related to the
aggressiveness of medical intervention at the end of life were longitudinally
collected to study the relationship between physicians' beliefs and behaviors
and the type of care patients receive near the end of life.
Key Staff: Kramer
Journal Articles:
Johnson MF, Lin MK, Mangalik S, Murphy DJ, Kramer AM. "Patients' Perception of Physicians' Recommendations for Comfort Care Differs by Patient Age and Gender." Journal of General Internal Medicine. 15(4):248-55, April 2000.
Johnson MF, Kramer AM. "Physicians' Responses to Clinical Scenarios Involving Life-Threatening Illness Vary by Patients' Age". The Journal of Clinical Ethics 11(4):323-7, Winter 2000.
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