Advance Care Planning: is quality end of life care really that simple?

Stephanie Johnson¹, Ian Kerridge^{2

3}, Phyllis N Butow¹, Martin H N Tattersall¹

Affiliations

¹ Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), School of Psychology, Department of Medicine, University of Sydney, Sydney, New South Wales, Australia.
² Centre for Values, Ethics and the Law in Medicine (Velim), School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
³ Centre for Haematology Department, Royal North Shore Hospital, Sydney, New South Wales, Australia.

PMID: 28401724
DOI: 10.1111/imj.13389

Advance Care Planning: is quality end of life care really that simple?

Stephanie Johnson et al. Intern Med J. 2017 Apr.

. 2017 Apr;47(4):390-394.

doi: 10.1111/imj.13389.

Authors

Stephanie Johnson¹, Ian Kerridge^{2

3}, Phyllis N Butow¹, Martin H N Tattersall¹

Affiliations

¹ Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), School of Psychology, Department of Medicine, University of Sydney, Sydney, New South Wales, Australia.
² Centre for Values, Ethics and the Law in Medicine (Velim), School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
³ Centre for Haematology Department, Royal North Shore Hospital, Sydney, New South Wales, Australia.

PMID: 28401724
DOI: 10.1111/imj.13389

Abstract

The routine implementation of Advance Care Planning (ACP) is now a prominent feature of policy directed at improving end of life care in Australia. However, while complex ACP interventions may modestly reduce medical care at the end of life and enable more people to die at home or outside of acute hospital settings, existing legal, organisational, cultural and conceptual barriers limit the implementation and utility of ACP. We suggest that meaningful improvements in end of life care will not result from the institutionalisation of ACP but from more significant changes to the design and delivery of care.

Keywords: advance care planning; advance directives; bioethics; end of life; terminal care.

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Comment in

Advance Care Planning and Advance Care Directives: ideas whose time has passed?
Komesaroff PA. Komesaroff PA. Intern Med J. 2017 Apr;47(4):359-360. doi: 10.1111/imj.13391. Intern Med J. 2017. PMID: 28401725 No abstract available.
Challenge to advance care planning.
Auret K, Sinclair C, Brims F. Auret K, et al. Intern Med J. 2017 Sep;47(9):1090-1091. doi: 10.1111/imj.13515. Intern Med J. 2017. PMID: 28891173 No abstract available.
Author reply.
Johnson S, Kerridge I, Butow PN, Tattersall MHN. Johnson S, et al. Intern Med J. 2017 Sep;47(9):1092. doi: 10.1111/imj.13543. Intern Med J. 2017. PMID: 28891176 No abstract available.
Advance care planning: a step in the right direction.
Links M. Links M. Intern Med J. 2017 Sep;47(9):1092-1093. doi: 10.1111/imj.13512. Intern Med J. 2017. PMID: 28891184 No abstract available.
End of life issues.
Lloyd M. Lloyd M. Intern Med J. 2017 Sep;47(9):1091. doi: 10.1111/imj.13516. Intern Med J. 2017. PMID: 28891186 No abstract available.

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Advance Care Planning: is quality end of life care really that simple?

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Advance Care Planning: is quality end of life care really that simple?

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