       Document 0268
 DOCN  M9610268
 TI    The role of reluctance to give up life in the measurement of the values
       of health states [see comments]
 DT    9601
 AU    Fowler FJ Jr; Cleary PD; Massagli MP; Weissman J; Epstein A; Center for
       Survey Research, University of Massachusetts-Boston; 02125-3393, USA.
 SO    Med Decis Making. 1995 Jul-Sep;15(3):195-200. Unique Identifier :
       AIDSLINE MED/96031876
 CM    Comment in: Med Decis Making 1995 Jul-Sep;15(3):286-7
 AB    Questions that involve willingness to risk or give up life often are
       used to measure the values of health states. In the Boston Health Study,
       interviews with 291 patients who had AIDS included questions about
       health status and current desire for resuscitation, and a series of
       hypothetical questions about desire for life-extending efforts if the
       patients found themselves in undesirable states, such as being
       chronically nauseous or blind. An index, reluctance to give up life was
       made from five such questions. The desire for resuscitation was related
       to current health status, but the general reluctance to give up life was
       not. Desire to be resuscitated was significantly related to current
       health status only when reluctance to give up life was low. For people
       reluctant to say they will give up any life at all, questions that
       involve risking or trading life seem likely to be poor measures of the
       values of health states.
 DE    Acquired Immunodeficiency Syndrome/*PSYCHOLOGY/THERAPY  Adult  Choice
       Behavior  Female  *Health Status  Human  Life Support Care  Male
       *Quality-Adjusted Life Years  Questionnaires  *Resuscitation
       Risk-Taking  Support, U.S. Gov't, P.H.S.  Terminal Care  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

