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The near-failure of advance directives: why they should not be abandoned altogether, but their role radically reconsidered

Overview of attention for article published in Medicine, Health Care and Philosophy, May 2016
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Title
The near-failure of advance directives: why they should not be abandoned altogether, but their role radically reconsidered
Published in
Medicine, Health Care and Philosophy, May 2016
DOI 10.1007/s11019-016-9704-7
Pubmed ID
Authors

Marta Spranzi, Véronique Fournier

Abstract

Advance directives (ADs) have been hailed for two decades as the best way to safeguard patients' autonomy when they are totally or partially incompetent. In many national contexts they are written into law and they are mostly associated with end-of-life decisions. Although advocates and critics of ADs exchange relevant empirical and theoretical arguments, the debate is inconclusive. We argue that this is so for good reasons: the ADs' project is fraught with tensions, and this is the reason why they are both important and deeply problematic. We outline six such tensions, and conclude with some positive suggestions about how to better promote patients' autonomy in end-of-life decision. We argue that ADs should continue to be an option but they cannot be the panacea that they are expected to be.

X Demographics

X Demographics

The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Other 5 16%
Student > Doctoral Student 5 16%
Student > Master 5 16%
Researcher 4 13%
Student > Ph. D. Student 3 9%
Other 7 22%
Unknown 3 9%
Readers by discipline Count As %
Medicine and Dentistry 13 41%
Nursing and Health Professions 6 19%
Social Sciences 4 13%
Arts and Humanities 2 6%
Psychology 1 3%
Other 1 3%
Unknown 5 16%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 May 2016.
All research outputs
#15,376,252
of 22,875,477 outputs
Outputs from Medicine, Health Care and Philosophy
#378
of 593 outputs
Outputs of similar age
#179,287
of 298,943 outputs
Outputs of similar age from Medicine, Health Care and Philosophy
#6
of 8 outputs
Altmetric has tracked 22,875,477 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 593 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.5. This one is in the 24th percentile – i.e., 24% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 298,943 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.