Journal article
Code Status Discussions at Hospital Admission Are Not Associated With Patient and Surrogate Satisfaction With Hospital Care: Results From the Multicenter Hospitalist Study
American journal of hospice & palliative medicine, Vol.28(2), pp.102-108
03/2011
DOI: 10.1177/1049909110374352
PMID: 20713421
Abstract
Background: Physicians may avoid code status discussions for fear of decreasing patient or surrogate satisfaction. Methods: Charts of patients admitted to medical services at 6 university hospitals were reviewed for documentation of a code status discussion in the first 24 hours of admission. Satisfaction with care provided during the hospitalization was assessed by telephone 1 month after discharge. Results: Of the 11 717 patients with 1-month follow-up, 1090 (9.3%) had a code status discussion documented. Patient or surrogate satisfaction did not differ by whether a discussion was documented. The lack of association persisted after adjusting for patient’s severity of illness and using propensity adjustment for likelihood of having a discussion. Conclusions: Discussing code status on admission to the inpatient setting did not affect patient or surrogate satisfaction.
Details
- Title: Subtitle
- Code Status Discussions at Hospital Admission Are Not Associated With Patient and Surrogate Satisfaction With Hospital Care: Results From the Multicenter Hospitalist Study
- Creators
- Wendy G Anderson - Division of Hospital Medicine, University of California, San Francisco, CA, USA, Palliative Care Program, University of California, San Francisco, CA, USASteven Z Pantilat - Division of Hospital Medicine, University of California, San Francisco, CA, USA, Palliative Care Program, University of California, San Francisco, CA, USADavid Meltzer - University of Chicago, Chicago, IL, USAJeffrey Schnipper - Brigham and Womens' Hospital and Harvard Medical School, Boston, MA, USAPeter Kaboli - VA Iowa City Healthcare System and University of Iowa College of Medicine, Iowa City, IA, USATosha B Wetterneck - University of Wisconsin School of Medicine and Public Health, Madison, WI, USADavid Gonzales - University of New Mexico, Albuquerque, NM, USAVineet Arora - University of Chicago, Chicago, IL, USAJames Zhang - Virginia Commonwealth University, Richmond, VA, USAAndrew D Auerbach - Division of Hospital Medicine, University of California, San Francisco, CA, USA
- Resource Type
- Journal article
- Publication Details
- American journal of hospice & palliative medicine, Vol.28(2), pp.102-108
- DOI
- 10.1177/1049909110374352
- PMID
- 20713421
- ISSN
- 1049-9091
- eISSN
- 1938-2715
- Language
- English
- Date published
- 03/2011
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9984094612302771
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