Article: Validation of the health care surrogate preferences scale.(health care industry)

Advancing medical technology and increasing numbers of incapacitated patients in hospitals and nursing homes have augmented cultural demands to use technology to extend the lives of dying patients (Fletcher, Lombardo, Marshall, & Miller, 1997). In the United States, end-of-life treatment decisions have been examined through the lens of individual patient autonomy (American College of Obstetricians and Gynecologists, 1996; Hardwig, 1993; Keigher, 1994). In today's health care environment, a dual emphasis on cost containment and patient's rights fuels speculation on the types of medical care and treatment available to patients and their surrogates (Kapp, 2001).

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