Saskia Briede

Table of Contents Chapter 1 General Introduction 9 Part I - Discussing care decisions at the outpatient clinic Chapter 2 The effect of physician training and patient education on the discussion of care decisions at the internal medicine outpatient clinic 25 Chapter 3 Discussing care decisions at the internal medicine outpatient clinic: a conversation analysis 45 Intermezzo 1 67 Part II - Patients perspective on discussing care decisions Chapter 4 A patient’s perspective on care decisions: a qualitative interview study 73 Intermezzo 2 97 Part III - Discussing care decisions at the emergency department Chapter 5 Code status documentation at admission in COVID-19 patients: a descriptive cohort study 103 Chapter 6 Physicians’ training and patient education initiative to improve quality of care decision communication at the emergency department 117 Intermezzo 3 139 Part IV - General discussion and summary Chapter 7 General discussion and summary 145 Appendices Nederlandse samenvatting 170 Dankwoord 180 List of publications 189 About the author 191

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