Article
 

Barriers and Strategies to an Iterative Model of Advance Care Planning Communication

Público Deposited

Contenido Descargable

Descargar PDF
https://ir.library.oregonstate.edu/concern/articles/s1784n301

Descriptions

Attribute NameValues
Creator
Abstract
  • Background: Early and repeated patient–provider conversations about advance care planning (ACP) are now widely recommended. We sought to characterize barriers and strategies for realizing an iterative model of ACP patient–provider communication. Methods: A total of 2 multidisciplinary focus groups and 3 semistructured interviews with 20 providers at a large Veterans Affairs medical center. Thematic analysis was employed to identify salient themes. Results: Barriers included variation among providers in approaches to ACP, lack of useful information about patient values to guide decision making, and ineffective communication between providers across settings. Strategies included eliciting patient values rather than specific treatment choices and an increased role for primary care in the ACP process. Conclusions: Greater attention to connecting providers across the continuum, maximizing the potential of the electronic health record, and linking patient experiences to their values may help to connect ACP communication across the continuum.
  • Keywords: patient preference, primary health care, goals of care, continuity of care, advance care planning, electronic health record
Resource Type
DOI
Fecha Disponible
Fecha de Emisión
Citation
  • Ahluwalia, S. C., Bekelman, D. B., Huynh, A. K., Prendergast, T. J., Shreve, S., & Lorenz, K. A. (2015). Barriers and strategies to an iterative model of advance care planning communication. American Journal of Hospice and Palliative Medicine, 32(8), 817-823. doi:10.1177/1049909114541513
Journal Title
Journal Volume
  • 32
Journal Issue/Number
  • 8
Declaración de derechos
Funding Statement (additional comments about funding)
  • This work was supported by the Department of Veterans Affairs Comprehensive End-of-Life Care Initiative, Office of Patient Care Services. Dr Ahluwalia is supported in part by a Career Development Grant from the National Palliative Care Research Center. The preparation of this article was supported in part by the Implementation Research Institute (IRI), at the George Warren Brown School of Social Work, Washington University in St Louis, through the National Institute of Mental Health (R25 MH080916-01A2) and the Department of Veterans Affairs, Health Services Research & Development Service, Quality Enhancement Research Initiative (QUERI).
Publisher
Peer Reviewed
Language
Replaces

Relaciones

Parents:

This work has no parents.

Elementos

Miniatura Título Fecha de subida Visibilidad Acciones
file details Ahluwalia_SangeetaPublicHealthHumanSciBarriersStrategiesIterative.pdf 2017-07-26 Público Descargar