Arora, A, Cummings, L and Crome, P (2016) Physician-facilitated designation of proxy decision maker. Israel Journal of Health Policy Research, 5 (28). ISSN 2045-4015

[thumbnail of P Crome - Physician-facilitated designation of proxy decision maker.pdf]
P Crome - Physician-facilitated designation of proxy decision maker.pdf - Published Version
Available under License Creative Commons Attribution.

Download (394kB) | Preview


With vast improvements in healthcare in recent decades, people are living longer but often with higher rates of morbidity and chronic illnesses. This has resulted in a higher proportion of the population who may benefit from early end-of-life 'conversation and planning', but also gives healthcare professionals more time during which these discussions are relevant, as people live longer with their chronic diseases. A survey conducted by Lifshitz et al (Isr J Health Policy Res 5:6, 2016) sought to assess physician awareness and willingness to discuss designating a proxy decision-maker with patients, in order to aid end-of-life care in the event that the patient is rendered unable to make or communicate these decisions later in life. Their article suggests that proxy decision-maker designation is only one aspect of end-of-life care; a challenging area littered with ethical and moral dilemmas. Without early, open and frank discussions with patients regarding their wishes at the end of life, proxy decision-makers may be in no better position than physicians or a court appointed proxy to make decisions in the patients' best interests/benefits. This commentary also touches upon the use of health and care passports being developed or in early phases in the United Kingdom, and whether these may be utilised in the field of palliative care in Israel.

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
Related URLs:
Depositing User: Symplectic
Date Deposited: 07 Jul 2016 14:55
Last Modified: 08 Jul 2016 15:45

Actions (login required)

View Item
View Item