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Advance care decision making and planning

Michael Tran1, Matthew Grant2, Josephine Clayton3

  • 1MBBS BSc (Med) (Hons), FRACGP, General Practitioner, Church Street Medical Practice, Newtown, NSW

Australian Journal of General Practice
|June 18, 2019
PubMed
Summary
This summary is machine-generated.

General practitioners can improve chronic disease care by initiating advance care planning (ACP). Overcoming barriers requires practice commitment, capacity building, and optimized processes for better patient outcomes.

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Area of Science:

  • Gerontology
  • Public Health
  • General Practice

Background:

  • Advance care planning (ACP) is crucial for managing chronic and advanced diseases.
  • General practitioners are well-positioned to initiate ACP due to their care coordination role and established patient relationships.

Purpose of the Study:

  • Identify barriers to general practice involvement in ACP.
  • Describe strategies for integrating ACP into routine patient care.

Main Methods:

  • Literature review on barriers and facilitators of ACP in primary care.
  • Synthesis of strategies for implementing ACP in general practice settings.

Main Results:

  • Barriers to ACP involve healthcare professionals, patients, and the healthcare system.
  • Successful ACP integration requires practice-wide commitment and capacity building.
  • Optimizing ACP processes and disseminating outcomes (e.g., Advance Care Directives) are essential.

Conclusions:

  • General practitioners play a vital role in facilitating ACP for patients with chronic conditions.
  • Addressing systemic and practice-level barriers is key to enhancing ACP.
  • Effective implementation strategies can improve the quality of care through ACP.