Questions regarding making and implementing care preferences through advance directives have become increasingly significant as the greying population grows with rising numbers of people experiencing incapacity. Currently, there is no consensus in the format for making advance directives. Recent developments highlighted the use of recording technology as an option to counter the challenges of written forms. Services offering video and audio recording available for online and offline storage are emerging in the United States. These services presumably strengthen a person’s expression of care preferences for healthcare providers in making treatment decisions compared to written advance directives. This article examines the role video advance directives play in advance decision-making and their legal and practical implications to the existing framework. An appreciation of the legal challenges presented by this development facilitates an understanding of their use in contemporary advance directives and enables appropriate recommendations for implementing safeguards in their use.

中文翻译：

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视频预先指示：预先决策的转折点？对它们的作用和对法律和实践的影响的思考

随着老龄化人口的增加以及丧失工作能力的人数不断增加，关于通过预先指示制定和实施护理偏好的问题变得越来越重要。目前，在制定预先指示的格式方面没有达成共识。最近的发展突出了使用记录技术作为应对书面形式挑战的一种选择。提供可用于在线和离线存储的视频和音频记录的服务正在美国兴起。与书面预先指示相比，这些服务可能会加强一个人在做出治疗决定时对医疗保健提供者的护理偏好的表达。本文研究了视频预先指示在预先决策中的作用及其对现有框架的法律和实际影响。对这一发展带来的法律挑战的认识有助于理解它们在当代预先指示中的使用，并为在其使用中实施保障提供适当的建议。