EP01.013 Mapping the regulatory state of advance directives in Latin America: lessons learnt

Abstract

conversation detail documented. Individual interviews explored physician perceptions of documentation utility, with sampling stratified by physicians in emergency, internal medicine, hospital, and critical care. Transcripts were analyzed line-by-line and grouped by specialty. Results Of 175 documented SICP conversations, more elements were recorded for patients with a non-resuscitative GCD ('Medical': 2.42; 0.47-1.51; 'Comfort': 1.06; 0.42-0.24), except in the Goals/Values domain and fewer goals/values were documented for patients who did not understand/ speak English (0.89; IQR: 0.14-1.63). In emerging qualitative themes physicians find useful details of the medical context, patients' own values, and families' understanding and dynamics and identified a 'sweet spot' for length of content. ConclusionThe type and amount of content documented after SICP conversations is associated with a patient's GCD. Physicians value conversation documentation as a starting point for new clinical encounters. The study yielded recommendations about the TR template revisions and raises questions about the equity of SICP conversations with non-English speakers.