The instrumental value of advance directives: lesson learned from the COVID-19 pandemic for policymaking.

Détails

ID Serval
serval:BIB_58425B22CB94
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
The instrumental value of advance directives: lesson learned from the COVID-19 pandemic for policymaking.
Périodique
Research in health services & regions
Auteur⸱e⸱s
Stock E., Nickel C.H., Elger B.S., Martani A.
ISSN
2730-9827 (Electronic)
ISSN-L
2730-9827
Statut éditorial
Publié
Date de publication
05/02/2025
Peer-reviewed
Oui
Volume
4
Numéro
1
Pages
1
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Open conversations between patients and healthcare professionals (HCP) are required to evaluate which treatments are reasonable for the individual case, especially towards the end of life. Advance Care Planning (ACP), which often results in drafting an Advance Directive (AD), is a useful tool to help with decisions in these circumstances, but the rate of AD completion remains low. During the COVID-19 pandemic, ACP and AD gained popularity due to the alleged advantage that they could facilitate resource allocation, to the benefit of public health. In this article, which presents a theoretical reflection grounded in scientific evidence, we underline an even stronger ethical argument to support the implementation of AD in end-of-life care (eol-C) i.e. the instrumental value at the individual level. We show, with particular reference to lessons learned from the COVID-19 pandemic, that AD are instrumentally valuable in that they: (1) allow to thematise death; (2) ensure that overtreatment is avoided; (3) enable to better respect the wish of people to die at their preferred place; (4) help revive the "lost skill" of prognostication. We thus conclude that these arguments speak for promoting the territorially uniform implementation and accessibility of high-quality AD in care.
Mots-clé
Advance Care Planning, Advance Directives, COVID-19 pandemic, Instrumental value, Resource allocation
Pubmed
Open Access
Oui
Création de la notice
07/04/2025 11:47
Dernière modification de la notice
08/04/2025 7:06
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