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"They Said on the Death Certificate…But Really What I Think Happened": Characterizing Cause of Death in VA Medical Centers.
Williams, Beverly Rosa; Bailey, F Amos; Goode, Patricia S; Burgio, Kathryn L.
Afiliación
  • Williams BR; 1 Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, AL and Atlanta, GA, USA.
  • Bailey FA; 2 University of Alabama at Birmingham, Birmingham, AL, USA.
  • Goode PS; 1 Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, AL and Atlanta, GA, USA.
  • Burgio KL; 3 Department of Medicine, Denver Health Medical Center, University of Colorado Denver, Denver, CO, USA.
J Palliat Care ; 33(1): 53-58, 2018 Jan.
Article en En | MEDLINE | ID: mdl-29332503
Cause of death information is a vital resource for family and public health, yet significant issues persist regarding its determination, documentation and communication. In this study, we aim to characterize cause of death attribution process from the perspective of next-of-kin of Veterans who died in Veterans Affairs (VA) Medical Centers. Using a semi-structured guide, we explored next-of-kin's experiences of the Veteran's terminal hospitalization and conducted a content analysis of interview texts. In over two-third of cases next-of-kin's understanding was not consistent with their recollection of physicians' determination of cause of death. Discrepancies between official cause of death and lay understanding engendered confusion and distress. Findings have relevance for shaping the context of post-death patient/family-centered clinical practice and serve as a means for improving efficacy of cause of death communication and reducing potential for misunderstandings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidado Terminal / Veteranos / Familia / Certificado de Defunción / Causas de Muerte / Hospitales de Veteranos Tipo de estudio: Qualitative_research Límite: Aged / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: J Palliat Care Asunto de la revista: SERVICOS DE SAUDE Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidado Terminal / Veteranos / Familia / Certificado de Defunción / Causas de Muerte / Hospitales de Veteranos Tipo de estudio: Qualitative_research Límite: Aged / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: J Palliat Care Asunto de la revista: SERVICOS DE SAUDE Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos