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lack of inclusion
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Reflexion on the therapeutic strategies to implement in patients at the end of life is advancing rapidly in France. However, beyond the choices presented to patients, sometimes even the decision to carry on, to limit or to stop treatments is also questioned. This decision is subjective; it is influenced by the patient's representation system (emotions, beliefs, values, practices, etc). In addition, even though he or she is the focus of the decision, the patient is not alone; other actors, accompanying the patient, play an important role in the final decision making. These actors, namely the doctors and close relatives, are also influenced in their decision making. This coexistence of representation systems may interfere with objective indicators that help in decision making (functional, clinical and biological) or with the knowledge acquired by doctors in their training and may complicate the decision-making process.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stable patients, early responders to treatment and caregivers |
| ||
| Stable patients and intermediate responders and c | Stable patients and intermediate responders to treatments and caregivers |
| |
| Doctors |
| ||
| Patients in therapeutic escape and their caregivers |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interviews | Other | Semi-directed interviews, recorded and transcribed for analysis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of determinants which are privileged by the patients to choose a treatment | through study completion, an average of 18 months | |
| Type of determinants which are privileged by the patients to choose a treatment | through study completion, an average of 18 months |
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Inclusion Criteria:
I- PATIENTS
II- CAREGIVERS
III-DOCTORS
Exclusion Criteria:
I- PATIENTS
II- CAREGIVERS
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hospitalized patients
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu Dijon Bourogne | Dijon | 21000 | France |
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| Questionnaires | Other | economic and psycho-social questionnaires |
|
| ID | Term |
|---|---|
| D007407 | Interviews as Topic |
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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