Abstract

Little available research has focused on the question of whether advanced-careplanning has the potential to impact health-care related spending especially in patients with chronic and incurable conditions such as Chronic Obstructive Pulmonary Disease (COPD). The purpose of this secondary data analysis was to investigate the prevalence of Advance Directives (ADs) documented in the electronic health records, compare healthcare spending between individuals with versus those without ADs on file, and examine socio-demographic variables as potential predictors of having documented ADs on file for patients with COPD in a large tertiary academic medical center in 2012 and 2013. This retrospective cohort study used financial, socio-demographic, and hospital encounter related data extracted from electronic health records.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 1590820; ProQuest document ID: 1694871226. The author still retains copyright.

Author Details

Brandon Duck, MSN, BSN, CCRN

Sigma Membership

Theta Tau

Type

Thesis

Format Type

Text-based Document

Study Design/Type

Cohort

Research Approach

Quantitative Research

Keywords:

COPD Patients, Healthcare Costs, Cost Savings, End-of-Life Care Planning, Advanced Care Directives

Advisor

Janice Bell

Second Advisor

Jeri L. Bigbee

Third Advisor

Deborah Ward

Degree

Master's

Degree Grantor

University of California, Davis

Degree Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-05-16

Full Text of Presentation

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