We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Changes in Physician Attitudes Toward Limiting Care of Critically Ill Patients

Renee M. Goetzler, MD, MPH; Mark A. Moskowitz, MD
Arch Intern Med. 1991;151(8):1537-1540. doi:10.1001/archinte.1991.00400080049008.
Text Size: A A A
Published online


To determine whether physician attitudes toward decision making in the care of critically ill patients have changed, a survey of physicians was conducted in 1981 and repeated in 1988. physicians in 1988 were more comfortable discussing "do-not-resuscitate" options with patients and were more likely to allow a critically ill patient to die if the patient so requested. Most physicians in both surveys believe that treatment costs should not play a role in medical decisions. Trainees in 1988 were more aggressive in their management of case studies than were faculty in 1988 or trainees in 1981. While in both years the most important factors in the decision to treat aggressively were a patient's expressed desire to live or die and the amount of patient suffering, physicians in 1988 ranked malpractice concerns as a more important determinant in their decision process compared with physicians in 1981. Significant changes in physician attitudes toward the care of critically ill patients have occurred during this decade.

(Arch Intern Med. 1991;151:1537-1540)


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

24 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.