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Advance directives in the primary care setting.

Perry A Pugno¹

¹Division of Medical Education, American Academy of Family Physicians, Leawood, Kansas 66211, USA. ppugno@aafp.org

Wiener Klinische Wochenschrift

|September 4, 2004

Summary

Physicians and patients rarely discuss advance directives, despite patient desire for these conversations and increased healthcare satisfaction. Primary care settings can improve advance directive utilization.

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Area of Science:

Healthcare policy
Medical ethics
Patient advocacy

Background:

Advance directives have existed for over two decades.
Physician-patient discussions regarding advance directives remain infrequent, with only 2% of patients reporting such conversations.
Both healthcare providers and patients exhibit reluctance in initiating these discussions.

Purpose of the Study:

To explore the benefits of advance directives for both physicians and patients.
To identify strategies for increasing the utilization of advance directives.
To highlight the suitability of primary care settings for advance directive establishment.

Main Methods:

Literature review on advance directive utilization and patient-physician communication.
Analysis of patient satisfaction data related to healthcare discussions.
Exploration of primary care models for implementing advance directives.

Main Results:

Patients express a desire for assistance with advance directives.
Addressing advance directives correlates with higher patient satisfaction with healthcare.
Primary care is identified as an optimal setting for advance directive discussions.

Conclusions:

Increased understanding of benefits can motivate physicians and patients to engage in advance directive discussions.
Enhancing communication about advance directives in primary care can improve healthcare resource utilization.
Addressing patient preferences through advance directives enhances overall healthcare experience.

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