Patient insurance status and do-not-resuscitate orders: Survival of the richest?

Abstract

This study investigated the effect of patient insurance status upon physicians' decisions to write do-not-resuscitate orders (DNRs). Ninety-four physicians completed a questionnaire consisting of demographic data and a case vignette. In addition to the main research question, the study explored the effect of religious affiliation on writing DNRs and performing "slow codes." Results indicate that insurance status has a significant effect upon the likelihood of writing a DNR, with physicians more likely to write DNRs for patients covered by public (i.e., government-funded, as compared to private) insurance. Religious affiliation was also significant, with greater church attendance associated with a lesser likelihood of writing a DNR. Results should be interpreted with caution; however, findings from this study support related research, and warrant further exploration.