What does Patient Self-Determination Act mean?
Definitions for Patient Self-Determination Act
pa·tient self-de·ter·mi·na·tion act
This dictionary definitions page includes all the possible meanings, example usage and translations of the word Patient Self-Determination Act.
Wikipedia
Patient Self-Determination Act
The Patient Self-Determination Act (PSDA) was passed by the United States Congress in 1990 as an amendment to the Omnibus Budget Reconciliation Act of 1990. Effective on December 1, 1991, this legislation required many hospitals, nursing homes, home health agencies, hospice providers, health maintenance organizations (HMOs), and other health care institutions to provide information about advance health care directives to adult patients upon their admission to the healthcare facility. This law does not apply to individual physicians. Because the 1991 PSDA does not apply to individual physicians, private clinics and practices, most of which are incorporated for-profit organizations, the problem of cruel over treatment for profit of the elderly on Medicare/Medicaid was not controlled to the extent that Congress hoped would be possible when the states would implement the goals of the 1991 PSDA in state laws. (In 2012, newspapers revealed that the United States Department of Health and Human Services and the Department of Justice have cooperated to prosecute over treatment of patients under the federal False Claims Act.) The goals of the 1991 PSDA are covered in the "Purpose" section, below. Section 1233 of the proposed America's Affordable Health Choices Act of 2009 (H.R. 3200) would have authorized reimbursements for physician counseling regarding advance directives (once every five years) but it was not included in the Patient Protection and Affordable Care Act of 2010 because of controversy over what were characterized as "death panels."Unfortunately, because the law of the 1991 PSDA does not require or mandate the treating physicians—after an educated "terminal" prognosis that is shared with the patient—to seek informed consent from elderly and terminal Medicare/Medicaid patients for either Curative Care under Medicare or palliative care, transition to Hospice in the last six months of life (also paid for out of the Medicare purse), the goals of the PSDA are not realized. Patient self rationing of expensive medical care at the end of life through the process of the advance directive under the provisions of the 1991 PSDA is discouraged because the patients have not had end-of-life conversations with the treating physicians.
Wikidata
Patient Self-Determination Act
The Patient Self-Determination Act was passed by the U.S. Congress in 1990 as an amendment to the Omnibus Budget Reconciliation Act of 1990. Effective on December 1, 1991, this legislation required many hospitals, Nursing Homes, home health agencies, hospice providers, HMOs, and other health care institutions to provide information about advance health care directives to adult patients upon their admission to the healthcare facility. This law does not apply to individual doctors. Section 1233 of the proposed HR 3200 would have authorized reimbursements for physician counseling regarding advance directives but it was not included in the 2010 Affordable Care Act because of uproar over supposed "death panels".
U.S. National Library of Medicine
Patient Self-Determination Act
The purpose of this 1990 federal act is to assure that individuals receiving health care services will be given an opportunity to participate in and direct health care decisions affecting themselves. Under this act, hospitals, health care agencies, and health maintenance organizations are responsible for developing patient information for distribution. The information must include patients' rights, advance directives, living wills, ethics committees' consultation and education functions, limited medical treatment (support/comfort care only), mental health treatment, resuscitation, restraints, surrogate decision making and transfer of care. (from JCAHO, Lexicon, 1994)
Numerology
Chaldean Numerology
The numerical value of Patient Self-Determination Act in Chaldean Numerology is: 4
Pythagorean Numerology
The numerical value of Patient Self-Determination Act in Pythagorean Numerology is: 1
Translations for Patient Self-Determination Act
From our Multilingual Translation Dictionary
- paciente acto de autodeterminaciónSpanish
- tindakan penentuan nasib sendiri pasienIndonesian
- акт самоопределения пациентаRussian
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