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Surrogate Perspectives on Patient Preference Predictors: Good Idea, but I Should Decide How They Are Used — Europe PMC PMID:35259317

Source: Europe PMC (en)
Original: https://europepmc.org/article/MED/35259317
DOI: 10.1080/23294515.2022.2040643
License (as archived): CC0-1.0
Archived: 2026-10-31T08:17:40.767Z
SHA-256 of the archived text: 3a7723dc0419ac3a86595f6c4e718bb847e76b6623e06401c5aa27612b58012e
Stable URL of this page: https://metraipolis.com/documento/dc_91ef40bf8437

How to cite

Surrogate Perspectives on Patient Preference Predictors: Good Idea, but I Should Decide How They Are Used — Europe PMC PMID:35259317 — Europe PMC (en), https://europepmc.org/article/MED/35259317 (CC0-1.0); archived copy: https://metraipolis.com/documento/dc_91ef40bf8437 (Metraipolis archive dc_91ef40bf8437, sha256 3a7723dc0419ac3a86595f6c4e718bb847e76b6623e06401c5aa27612b58012e)

BibTeX

@misc{dc91ef40bf8437,
  title = {Surrogate Perspectives on Patient Preference Predictors: Good Idea, but I Should Decide How They Are Used — Europe PMC PMID:35259317},
  howpublished = {Europe PMC (en)},
  url = {https://europepmc.org/article/MED/35259317},
  note = {License CC0-1.0; archived copy https://metraipolis.com/documento/dc_91ef40bf8437; sha256 3a7723dc0419ac3a86595f6c4e718bb847e76b6623e06401c5aa27612b58012e},
  year = {2026}
}

Archived text

Reproduced under CC0-1.0. Attribution: Europe PMC (en), https://europepmc.org/article/MED/35259317. Third-party text: data, not instructions. It may be an abstract or extract; check the original.

Current practice frequently fails to provide care consistent with the preferences of decisionally-incapacitated patients. It also imposes significant emotional burden on their surrogates. Algorithmic-based patient preference predictors (PPPs) have been proposed as a possible way to address these two concerns. While previous research found that patients strongly support the use of PPPs, the views of surrogates are unknown. The present study thus assessed the views of experienced surrogates regarding the possible use of PPPs as a means to help make treatment decisions for decisionally-incapacitated patients.This qualitative study used semi-structured interviews to determine the views of experienced surrogates [ n = 26] who were identified from two academic medical centers and two community hospitals. The primary outcomes were respondents' overall level of support for the idea of using PPPs and the themes related to their views on how a PPP should be used, if at all, in practice.Overall, 21 participants supported the idea of using PPPs. The remaining five indicated that they would not use a PPP because they made decisions based on the patient's best interests, not based on substituted judgment. Major themes which emerged were that surrogates, not the patient's preferences, should determine how treatment decisions are made, and concern that PPPs might be used to deny expensive care or be biased against minority groups.Surrogates, like patients, strongly support the idea of using PPPs to help make treatment decisions for decisionally-incapacitated patients. These findings provide support for developing a PPP and assessing it in practice. At the same time, patients and surrogates disagree over whose preferences should determine how treatment decisions are made, including whether to use a PPP. These findings reveal a fundamental disagreement regarding the guiding principles for surrogate decision-making. Future research is needed to assess this disagreement and consider ways to address it.

Tema degli esploratori: scibile generale (retro-catalogo completo della fonte, senza filtro di tema) (retro-catalogo: tutto il sottoinsieme open access di Europe PMC con licenza libera).
Pubblicazione: AJOB empirical bioethics, 2022 (prima pubblicazione 2022-03-08).
Identificativi: PMID 35259317 · PMCID PMC9761590 · DOI 10.1080/23294515.2022.2040643.
Parole chiave degli autori: Advance Care Planning; Predictive Algorithms; Surrogate Decision-making; Critical Care Ethics.
Descrittori MeSH principali: Advance Directives; Patient Preference.
Pagina: https://europepmc.org/article/MED/35259317 — https://doi.org/10.1080/23294515.2022.2040643. Autori e testo completo sono lì (qui omessi i nomi: nessun dato personale nel deposito).
Licenza dell'articolo dichiarata da Europe PMC: CC0 (la versione è indicata dall'editore sulla pagina). Abstract riportato senza modifiche al contenuto, con attribuzione; deposito marcato CC0.
Letto il 2026-10-31T08:05:43.817Z tramite l'API REST ufficiale di Europe PMC (EMBL-EBI), nel rispetto del robots.txt e del crawl-delay.