Evaluation of Case Management Conference as a Decision Making Process for Withdrawing or Witholding Active Treatment in the Neonatal Intensive Care Unit(NICU) 165

BACKGROUND: The Case Management Conference (CMC) is a multi-disciplinary meeting that is widely used to achieve consensus about treatment (including end-of-life) decisions in complex, critically ill patients. However, little is known about the attitudes of health care providers and patients toward using CMC to make end-of-life treatment decisions, and about their perceptions concerning whether the process works well.

AIMS/METHODS: We therefore surveyed 26 physicians and 163 nurses at the tertiary level NICU at Children's & Women's (C&W) Health Centre of B.C. in December 1996, for their attitudes and perceptions about the use of CMC as a decision making process for withdrawing/witholding active treatment in the NICU. As part of another study, we also surveyed parents of 26 C&W NICU patients who had CMCs held in 1997.

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