The effects of patient race on outcomes in seriously ill patients in SUPPORT: an overview of economic impact, medical intervention, and end-of-life decisions

Article Abstract:

The effects of patient race on outcomes in seriously ill patients in Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT) are discussed based on a review of published SUPPORT analyses of the study, which took place at five US teaching hospitals. Patient race may be a factor in medical intervention and consideration of preferences of seriously ill patients. Among black Americans the differences are of modest clinical importance. An overview of economic impact, medical intervention, and end-of-life decisions is presented. Subjects numbered 9105, of whom 15% were black.

Health aspects, Social aspects, Research, Demographic aspects, African Americans, Race, Right to refuse treatment, Treatment refusal, Bioethics

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Ineffectiveness of the SUPPORT intervention: review of explanations

Article Abstract:

A review of explanations of ineffectiveness of the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) is presented in a descriptive review of published articles and book chapters. Some critiques raised important concerns, but in each case there is an inadequate explanation of the failure of the intervention. The study was to improve the care of seriously ill patients by improving decision-making for patients with life-threatening illnesses. Theories have been advanced to explain why the SUPPORT intervention was unsuccessful at improving outcomes.

Care and treatment, Decision-making, Decision making, Planning, Practice, Physician and patient, Physician-patient relations, Ethical aspects, Nursing, Hospital patients

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