I 99 Physicians say that … Time and place: Timing ● they do not know exactly what the appropriate timing or place is (and opinions differed between physicians) ■ “ it sometimes feels ‘random’ to discuss it” ■ “it is not exact science, it is not that simple that you could say, we discuss this with everybody above 70 years old or something” ■ “I prefer when it is discussed with all patients, so I can say: I’m not only discussing this with you, but we discuss this with all our patients” ● the formulation of general criteria could facilitate care decision conversations and serve as a “hook” Prepared and aware patient ● it is helpful if the patient is informed and aware of the topic of care decisions (preferably in advance) Physician initiative ● the physician should initiate the conversation ■ “It is your responsibility, as a doctor.” ■ “You need to support and facilitate the patient. And that means you need to ask the question.”
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