Advance directives and life-sustaining treatment: attitudes of Hong Kong Chinese elders with XXXX .

@entity1 @entity102
OBJECTIVE: To examine the attitudes of Hong Kong Chinese elders with @entity102 with regard to advance directives and life-sustaining treatment. DESIGN: Cross-sectional questionnaire survey. SETTING: Medical unit of a regional teaching hospital in Hong Kong. @entity1 : In- @entity1 aged 60 years or above with @entity102 . MAIN OUTCOME MEASURES: Demographic profiles and attitudes towards advance directives and life-sustaining treatment. RESULTS: A total of 219 elderly @entity1 completed the questionnaire. Their mean age was 73 (standard deviation, 8) years; 133 (61%) were female. The majority had neither heard about advance directives (81%), nor discussed the issue with others (73%) before participating in this study. After they were informed of the concept of advance directives, about half (49%) said they would consider using it if it is legislated in Hong Kong. The respondents generally supported the withholding or withdrawing of life-sustaining treatment in medically futile situations. In all, 55% of them believed that the @entity1 alone should make the decision on withholding or withdrawing life-sustaining treatment, if competent to do so. If the @entity1 became not competent, 44% believed that the individual's family alone should make such a decision. CONCLUSION: The fact that most of the respondents had never heard about advance directives or discussed the concept with others points to a lack of knowledge and to the necessity to step up public education about such issues.
