2020
DOI: 10.1186/s12904-020-00613-1
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Communication of advance care planning decisions: a retrospective cohort study of documents in general practice

Abstract: Background: Doctors, particularly general practitioners, play a significant role in assisting patients to create advance care plans. When medically indicated, these documents are important tools to promote congruence between endof-life care and patient's personal preferences. Despite this, little is known regarding the availability of these documents in hospitals. The aim of this study was to identify the proportion of people who died in hospital without an advance care plan and how many of these had advance c… Show more

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Cited by 6 publications
(7 citation statements)
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“…Conversations usually start when a patient initiates them, when they are included in routine care, when they discuss prognosis or less directly inquire about the patients feelings about death [ 31 ]. GPs commit time and resource to assist their patients to create an end-of-life care plan [ 32 ], however, at times the end-of-life care plan is not explicitly articulated and discussed, so an informal care plan is developed gradually without discussing these plans with the patient [ 33 ].…”
Section: Resultsmentioning
confidence: 99%
“…Conversations usually start when a patient initiates them, when they are included in routine care, when they discuss prognosis or less directly inquire about the patients feelings about death [ 31 ]. GPs commit time and resource to assist their patients to create an end-of-life care plan [ 32 ], however, at times the end-of-life care plan is not explicitly articulated and discussed, so an informal care plan is developed gradually without discussing these plans with the patient [ 33 ].…”
Section: Resultsmentioning
confidence: 99%
“…It is crucial for health care providers to be confident in their decision making around ACP, in order to ensure a high quality of care [ 40 , 41 ]. Advance care plans aim at bringing patients’ preferences in line with EoLC [ 42 ]. Accordingly, they may contribute to optimising the quality of EoLC [ 41 ].…”
Section: Discussionmentioning
confidence: 99%
“…Accordingly, they may contribute to optimising the quality of EoLC [ 41 ]. However, ACP documents are not regularly available when needed, and several barriers to ACP have been acknowledged [ 18 , 42 , 43 ]. In particular, patients might avoid talking about EoLC for various reasons (e.g.…”
Section: Discussionmentioning
confidence: 99%
“…It is crucial for health care providers to be con dent in their decision making around ACP, in order to ensure a high quality of care [31,32]. Advance care plans aim at bringing patients' preferences in line with EoLC [33]. Accordingly, they may contribute to optimising the quality of EoLC [32].…”
Section: Discussionmentioning
confidence: 99%
“…Accordingly, they may contribute to optimising the quality of EoLC [32]. However, ACP documents are not regularly available when needed, and several barriers to ACP have been acknowledged [33][34][35]. In particular, patients might avoid talking about EoLC for various reasons (e.g.…”
Section: Discussionmentioning
confidence: 99%