Abstract:
:To assess the consequences of advance medical directives--which explicitly specify a patient's preferences for one or more specific types of medical treatment in the event of a loss of competence--we analyze the medical care of elderly Medicare beneficiaries who died between 1985 and 1995. We compare the care of patients from states that adopted laws enhancing incentives for compliance with advance directives and laws requiring the appointment of a health care surrogate in the absence of an advance directive to the care of patients from states that did not. We report three key findings. First, laws enhancing incentives for compliance significantly reduce the probability of dying in an acute care hospital. Second, laws requiring the appointment of a surrogate significantly increase the probability of receiving acute care in the last month of life, but decrease the probability of receiving nonacute care. Third, neither type of law leads to any savings in medical expenditures.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Kessler DP,McClellan MBdoi
10.1016/j.jhealeco.2003.08.006subject
Has Abstractpub_date
2004-01-01 00:00:00pages
111-27issue
1eissn
0167-6296issn
1879-1646pii
S0167-6296(03)00103-6journal_volume
23pub_type
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