Neonatologists' judgments regarding medical treatment for disabled newborns with life-threatening conditions

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Maria Kappen Chalnick (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Advisor
Hyman Rodman

Abstract: States government developed a policy that placed stricter limits on physicians' and parents' decisions about when they could withhold medical treatment for disabled newborns with life-threatening conditions. This study investigated neonatologists' judgments regarding treatment for disabled newborns with life-threatening conditions in the context of this policy. Two hundred sixty neonatologists responded to a nationwide mailed survey that included a series of vignettes to describe five disabled newborns. Neonatologists were asked to choose their treatment recommendations under three conditions: (1) the treatments that would be best for the infant; (2) the treatments that would be required by federal policy; and (3) the treatments that they would recommend in actual practice. Results of the repeated measures ANOVA indicated that the seriousness of the infant's medical condition was significant and that the more serious the infant's medical condition the less aggressive the treatments recommended by neonatologists under all conditions. Neonatologists also perceived that the federal policy required more aggressive treatments for disabled infants with life-threatening conditions than they would personally recommend.

Additional Information

Publication
Dissertation
Language: English
Date: 1990
Subjects
Newborn infants $x Care
Neonatologists $x Attitudes
Neonatalogy $x Law and legislation

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