Barriers to Goals of Care Discussions With Seriously Ill Hospitalized Patients and Their Families

Author:

You John J.1,Downar James2,Fowler Robert A.3,Lamontagne François4,Ma Irene W. Y.5,Jayaraman Dev6,Kryworuchko Jennifer7,Strachan Patricia H.8,Ilan Roy9,Nijjar Aman P.10,Neary John11,Shik John12,Brazil Kevin13,Patel Amen11,Wiebe Kim14,Albert Martin15,Palepu Anita10,Nouvet Elysée16,des Ordons Amanda Roze17,Sharma Nishan5,Abdul-Razzak Amane18,Jiang Xuran19,Day Andrew19,Heyland Daren K.20

Affiliation:

1. Department of Medicine, McMaster University, Hamilton, Ontario, Canada2Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada

2. Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada4Division of Palliative Care, University of Toronto, Toronto, Ontario, Canada

3. Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada6Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

4. Centre de Recherche Clinique Hôpital Universitaire de Sherbrooke, Université de Sherbrooke, Sherbrooke, Québec, Canada

5. Department of Medicine, University of Calgary, Calgary, Alberta, Canada

6. Department of Internal Medicine, McGill University, Montreal, Québec, Canada

7. College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

8. School of Nursing, McMaster University, Hamilton, Ontario, Canada

9. Department of Medicine, Queen’s University, Kingston, Ontario, Canada13Critical Care Program, Queen’s University, Kingston, Ontario, Canada

10. Division of General Internal Medicine, University of British Columbia, Vancouver, British Columbia, Canada

11. Department of Medicine, McMaster University, Hamilton, Ontario, Canada

12. Faculty of Medicine, Memorial University of Newfoundland, St John’s, Newfoundland and Labrador, Canada

13. School of Nursing and Midwifery, Queen’s University Belfast, Belfast, Northern Ireland, United Kingdom

14. Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

15. Centre de Recherche de l’Hôpital du Sacré-Coeur de Montréal, Département de Médecine, Université de Montréal, Montréal, Québec, Canada

16. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada

17. Department of Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada

18. Division of Palliative Medicine, University of Calgary, Calgary, Alberta, Canada

19. Clinical Evaluation Research Unit, Department of Medicine, Kingston General Hospital, Kingston, Ontario, Canada

20. Clinical Evaluation Research Unit, Department of Medicine, Kingston General Hospital, Kingston, Ontario, Canada22Department of Community Health and Epidemiology, Queen’s University, Kingston, Ontario, Canada

Publisher

American Medical Association (AMA)

Subject

Internal Medicine

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