title: [Physicians' attitude in the treatment of incompetent patients. Comparison between East and West Germany].
abstract: BACKGROUND
  Health care decision-making in incompetent severely ill patients presents a number of difficult medical, ethical and legal problems for the physician. The factors and the degree to which various factors contribute to such decisions have rarely been investigated.
  
  
  METHODS
  310 physicians from the state of Baden-Württernberg (Western Germany) and the state of Mecklenburg (eastern Germany) were asked by means of a questionnaire to rate the importance of eight factors in their health care decisions in the elderly.
  
  
  RESULTS
  Both, ethical concerns and patients' wishes emerged as the most important factors for decisions in both subsamples. However, significant differences in the degree to which the factors hospital costs, patients' and family wishes, the level of dementia and the patients' age contribute to their decisions could be found between the answers of the doctors of the two lands.
  
  
  CONCLUSIONS
  The socialization of the physicians in different health care and social systems seems to be one of the most important reasons for different health care decisions in old and incompetent patients.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universität Rostock.
authors.forename: J
authors.initials: J
authors.lastname: Richter
authors.forename: M
authors.initials: M
authors.lastname: Eisemann
authors.forename: B
authors.initials: B
authors.lastname: Bauer
authors.forename: F
authors.initials: F
authors.lastname: Porzsolt
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003657:Decision Making; D004992:Ethics, Medical; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D016743:Mental Competency / Q000331:legislation & jurisprudence; D008875:Middle Aged; D010344:Patient Advocacy; D010820:Physicians / Q000523:psychology*; D011795:Surveys and Questionnaires
vernacular_title: Einstellungen von Arzten bei der Behandlung inkompetenter Patienten. Ein Ost-West-Vergleich.