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Table 5 Opinions on impediment to EOL discussion by stakeholder

From: Experience and perspectives of end-of-life care discussion and physician orders for life-sustaining treatment of Korea (POLST-K): a cross-sectional study

Categories

Items

n (%)†

Total (n = 181)

Attending (n = 94)

Resident (n = 87)

Physicians

Uncertainty of the timing

94 (26.0)

50 (26.6)

44 (25.3)

Concerns of patient’s disappointment and/or frustration

76 (21.0)

40 (21.3)

36 (20.7)

Thought of giving up on patients

53 (14.6)

22 (11.7)

31 (17.8)

Inability to explain the situation

26 (7.2)

13 (6.9)

13 (7.5)

Time constraint

25 (6.9)

10 (5.3)

15 (8.6)

Subtotal

274 (75.7)

135 (71.8)

139 (79.9)

Patients

Patients’ incomprehension on the purpose of LST

14 (3.9)

8 (4.3)

6 (3.4)

Patients’ wish for physicians to decide on their behalf

11 (3.0)

7 (3.7)

4 (2.3)

Patients’ reluctance

9 (2.5)

5 (2.7)

4 (2.3)

Patients’ incomprehension of the relevant terms

5 (1.4)

3 (1.6)

2 (1.1)

Patients’ wish for family members to decide on their behalf

2 (0.6)

1 (0.5)

1 (0.6)

Subtotal

41 (11.3)

24 (12.8)

17 (9.8)

Family members

Family members’ opposition against open discussion

20 (5.5)

10 (5.3)

10 (5.7)

Disagreement among family members

20 (5.5)

13 (6.9)

7 (4.0)

Family members making decisions for patients

4 (1.1)

4 (2.1)

0 (0.0)

Others

3 (0.8)

2 (1.1)

1 (0.6)

Subtotal

47 (13.0)

29 (15.4)

18 (10.3)

Total

 

362 (100.0)

188 (100.0)

174 (100.0)

  1. EOL End-of-life; LST Life-sustaining treatment
  2. †Multiple responses (two of the most significant items were selected), missing data excluded