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Project 3: Geographical and Familial Factors in Engagement of Advance Directives

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dc.contributor.advisorInoue, Megumi
dc.contributor.authorLi, Jessie
dc.contributor.authorLiu, Tyler
dc.contributor.authorNokta, Nyla
dc.contributor.authorShah, Ahaan
dc.contributor.authorWang, Arthur
dc.date.accessioned2024-04-13T12:53:59Z
dc.date.available2024-04-13T12:53:59Z
dc.date.issued2023-08
dc.description.abstractBackground: Multiple studies have investigated the factors influencing the completion of Advance Care Planning (ACP) in the United States of America [1][2]. ACP involves preparing and discussing future medical care when the patient is incapacitated in some way so that they retain some autonomy of their decisions even when they are unable to communicate effectively [3][4]. Previous studies have compared rural and urban nursing home residents and found that rural nursing home residents were more likely to have advance directives in place and less likely to experience extended hospitalizations or intensive care stays compared to their urban counterparts [5]. Between urban and rural patients with Physician Orders for Life-Sustaining Treatment forms, orders for full treatment are less prevalent among rural patients, with a preference towards DNR and limited intervention [6]. However, the findings on rural vs. urban are not consistent. Another line of research has examined racial disparities, revealing that White/non-Hispanic residents were over twice as likely as Black residents to have documented advance directives, with county-facility characteristics accounting for a significant portion of this difference. Additionally, regional variations in Medicare spending have been linked to higher rates of ACP engagement [7][8]. Positive interactions, emotional support, and encouragement from family members play significant roles in motivating patients to undertake ACP [2][9] leading to more appropriate care during their end-of-life phase. Conversely, strained relationships characterized by criticism or lack of support may discourage individuals from engaging in ACP. Objective: The objective of this study was to determine the influence of geographical and familial factors on advance directive (AD) engagement in the United States.
dc.identifier.urihttp://hdl.handle.net/1920/13571
dc.identifier.urihttps://doi.org/10.13021/MARS/2042
dc.language.isoen
dc.publisherGeorge Mason University
dc.rightsCopyright 2023 Jessie Li, Tyler Liu, Nyla Nokta, Ahaan Shah, Arthur Wang
dc.rights.urihttps://rightsstatements.org/page/InC/1.0/
dc.titleProject 3: Geographical and Familial Factors in Engagement of Advance Directives
dc.typeProject
dspace.entity.typePublication

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