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Prevalence, Perception, and Predictors of Advance Directives among Hong Kong Chinese: A Population-based Survey.
Chan, Carmen W H; Wong, Martin M H; Choi, Kai Chow; Chan, Helen Y L; Chow, Amy Y M; Lo, Raymond S K; Sham, Michael M K.
Afiliación
  • Chan CWH; The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong. whchan@cuhk.edu.hk.
  • Wong MMH; The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong. martinwong@cuhk.edu.hk.
  • Choi KC; The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong. kchoi@cuhk.edu.hk.
  • Chan HYL; The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong. helencyl@cuhk.edu.hk.
  • Chow AYM; Department of Social Work and Social Administration, University of Hong Kong, Hong Kong. chowamy@hku.hk.
  • Lo RSK; Geriatrics and Palliative Medicine, Shatin Hospital, Hong Kong. losk@ha.org.hk.
  • Sham MMK; Bradbury Hospice, Hong Kong. losk@ha.org.hk.
Article en En | MEDLINE | ID: mdl-30696082
Advance directives (AD) can be used for the communication of healthcare decisions that may be required in the future when individuals have lost their capacity to make such decisions. The aim of this study is to examine the prevalence, perception, and predictors of AD completion in the Hong Kong general population with a diverse culture. Through random-digit dialing, a population-based telephone survey was conducted with participants aged 18 or above. Socio-demographic characteristics, self-perception and health status, prevalence of AD, and perceptions related to AD were assessed. The acceptance on completing AD was measured by the summed score on the level of agreement in making AD. In total, 2002 participants completed the survey, with only 0.5% having made AD. However, the majority of those who had heard about AD had made or intended to make AD (80.2%). Multivariable regression analysis showed that being religious, being optimistic, and agreeing to respect patients' wishes are independently associated with higher AD acceptance. Being a student is associated with lower AD acceptance. The extremely low completion rate of AD, but high acceptance of AD urges for more active promotion of AD to the public and education on end-of-life care among university students.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidado Terminal / Vigilancia de la Población / Directivas Anticipadas / Pueblo Asiatico Tipo de estudio: Diagnostic_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies Aspecto: Ethics / Patient_preference Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Int J Environ Res Public Health Año: 2019 Tipo del documento: Article País de afiliación: Hong Kong Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidado Terminal / Vigilancia de la Población / Directivas Anticipadas / Pueblo Asiatico Tipo de estudio: Diagnostic_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies Aspecto: Ethics / Patient_preference Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Int J Environ Res Public Health Año: 2019 Tipo del documento: Article País de afiliación: Hong Kong Pais de publicación: Suiza