Understanding of advance care planning in primary care: a gap analysis

Affiliations

¹ South Western Sydney Local Health District, Sydney, NSW, Australia; and Clinical Stream Office, Don Everett Building, Locked Bag 7103, BC 1871, Liverpool, NSW 2170, Australia; and University of Sydney, Sydney, NSW, Australia; and University of New South Wales, Sydney, NSW, Australia; and Western Sydney University, Sydney, NSW, Australia.
² South Western Sydney Primary Health Network, Sydney, NSW, Australia.
³ South Western Sydney Local Health District, Sydney, NSW, Australia.
⁴ South Western Sydney Local Health District, Sydney, NSW, Australia; and University of New South Wales, Sydney, NSW, Australia; and HammodCare, Sydney, NSW, Australia.
⁵ South Western Sydney Local Health District, Sydney, NSW, Australia; and University of New South Wales, Sydney, NSW, Australia.

PMID: 35605984
DOI: 10.1071/PY21253

Understanding of advance care planning in primary care: a gap analysis

Josephine Chow et al. Aust J Prim Health. 2022 Aug.

. 2022 Aug;28(4):344-349.

doi: 10.1071/PY21253.

Authors

Affiliations

¹ South Western Sydney Local Health District, Sydney, NSW, Australia; and Clinical Stream Office, Don Everett Building, Locked Bag 7103, BC 1871, Liverpool, NSW 2170, Australia; and University of Sydney, Sydney, NSW, Australia; and University of New South Wales, Sydney, NSW, Australia; and Western Sydney University, Sydney, NSW, Australia.
² South Western Sydney Primary Health Network, Sydney, NSW, Australia.
³ South Western Sydney Local Health District, Sydney, NSW, Australia.
⁴ South Western Sydney Local Health District, Sydney, NSW, Australia; and University of New South Wales, Sydney, NSW, Australia; and HammodCare, Sydney, NSW, Australia.
⁵ South Western Sydney Local Health District, Sydney, NSW, Australia; and University of New South Wales, Sydney, NSW, Australia.

PMID: 35605984
DOI: 10.1071/PY21253

Abstract

Background: Although primary care is a well suited context for conducting advance care planning (ACP), there are many barriers to initiating discussions regarding future health preference and end-of-life conversations.

Methods: This qualitative study conducted 30 detailed individual interviews with senior administrators, medical and nurse practitioners of a local health district, NSW Ambulance, e-Health NSW, general practitioners and practice nurses to find out about barriers to ACP in South Western Sydney.

Results: Thematic analysis was conducted on the interviews. Six major themes were identified: Prevalence; Empowerment of roles and responsibilities; Lack of training/knowledge/confidence; Fragmentation of care; Patient/family readiness; and Prognostication. Half of the participants were willing to use a prognostic tool to identify when a patient was likely to be at the end of their life and provide a prompt to initiate ACP.

Conclusion: In addition to addressing training and acknowledging resource constraints, these findings suggest that if a prognostic tool was validated and practical in a primary care setting, it may provide valuable assistance to encourage everyone in society to begin discussing this issue and completing ACP.

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Understanding of advance care planning in primary care: a gap analysis

Affiliations

Understanding of advance care planning in primary care: a gap analysis

Authors

Affiliations

Abstract

MeSH terms

LinkOut - more resources

Miscellaneous