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. 2019 Dec 20:5:2333721419892694.
doi: 10.1177/2333721419892694. eCollection 2019 Jan-Dec.

Current Engagement in Advance Care Planning in Japan and Its Associated Factors

Megumi Inoue  1 , Kyoko Hanari  2 , Jun Hamano  2 , Joshua Gallagher  2 , Nanako Tamiya  2
Affiliations

Current Engagement in Advance Care Planning in Japan and Its Associated Factors

Megumi Inoue et al. Gerontol Geriatr Med. .

Abstract

Using the Ministry of Health, Labour and Welfare national data on perspectives toward medical care at the end of life, this study examined the current status of engagement in advance care planning (ACP) activities among physicians and nurses in Japan and associated factors. Only 28.7% of physicians and 27.6% of nurses answered that they were engaging their patients/clients in ACP. Multinomial regression analysis revealed that more frequent involvement in caring for dying patients was associated with ACP engagement for both physicians and nurses. Increased years of clinical practice experience and working in a hospital were associated with decreased likelihood of nurses' ACP engagement. Completion of training designed to promote patient self-determination at the end of life was associated with both physicians' and nurses' ACP engagement. It is recommended that health care professionals be encouraged to complete such training to promote patients' autonomy through ACP.

Keywords: Japan; advance care planning; attitude; health care professionals; nationwide survey.

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Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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