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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 6/2019

01-06-2019 | General Medicine | Concise Research Reports

Increasing Advance Care Planning in Primary Care Practices: a Multi-site Quality Improvement Initiative

Authors: Marie B. Sandoval, MD, John G. King, MD, MPH, Vicki Hart, PhD, Allen B. Repp, MD, MSc

Published in: Journal of General Internal Medicine | Issue 6/2019

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Excerpt

Advance care planning (ACP) is the process by which a patient, in consultation with their health care provider and loved ones, makes decisions about how to direct possible future health care in times of incapacity.1, 2 Primary care providers (PCPs) frequently offer longitudinal care to patients across years and are well positioned to discuss ACP with their patients.2‐4 However, ACP has not been integrated into most primary care practices, and ACP rates among patients in many primary care practices remain suboptimal.5, 6 …
Literature
1.
Singer PA, Martin DK, Lavery JV, Thiel EC, Kelner M, Mendelssohn DC. Reconceptualizing advance care planning from the patient’s perspective. Arch Intern Med. 1998;158(8):879–84.CrossRefPubMed
2.
Committee on Approaching Death. Addressing key end of life issues; Institute of Medicine. Dying in America: improving quality and honoring individual preferences near the end of life. Washington (DC): National Academies Press (US); 2015.
3.
Munday D, Dale J, Murray S. Choice and place of death: individual preferences, uncertainty, and the availability of care. J R Soc Med. 2007;100:211–15.CrossRefPubMedPubMedCentral
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Michiels E, Deschepper R, Van Der Kelen G, et al. The role of general practitioners in continuity of care at the end of life: a qualitative study of terminally ill patients and their next of kin. Palliat Med. 2007;21:409–15.CrossRefPubMed
5.
Ramsaroop SD, Reid MC, Adelman RD. Completing an advance directive in the primary care setting: what do we need for success? J Am Geriatr Soc. 2007;55:277–83.CrossRefPubMed
6.
Lund S, Richardson A, May C. Barriers to advance care planning at the end of life: an explanatory systematic review of implementation studies. PLOS One. 2015;10:e0116629.CrossRefPubMedPubMedCentral
Metadata
Title
Increasing Advance Care Planning in Primary Care Practices: a Multi-site Quality Improvement Initiative
Authors
Marie B. Sandoval, MD
John G. King, MD, MPH
Vicki Hart, PhD
Allen B. Repp, MD, MSc
Publication date
01-06-2019
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 6/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-018-4800-4

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