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Advance Care Planning in Australia: Progress in research and implementation
Craig Sinclair1, Jill Mann2, Liz Reymond3
1School of Psychology, University of New South Wales, Sydney, Australia; Neuroscience Research Australia (NeuRA), Sydney, Australia.
Advance Care Planning (ACP) in Australia faces challenges like inconsistent laws and documentation access. The COVID-19 pandemic spurred innovation, driving efforts towards standardized practices and policy frameworks for diverse populations.
Area of Science:
- Health Services Research
- Public Health Policy
- Gerontology
Background:
- Advance Care Planning (ACP) in Australia originated from the Respecting Patient Choices model.
- The Australian population is diverse, aging, and geographically dispersed, impacting healthcare delivery.
- Existing health and aged care services involve multiple organizations and regulatory levels.
Purpose of the Study:
- To identify key challenges in implementing Advance Care Planning (ACP) across Australia.
- To examine the impact of the COVID-19 pandemic on ACP practices.
- To outline ongoing efforts for policy coherence and practice standardization in ACP.
Main Methods:
- Analysis of existing Advance Care Planning (ACP) implementation models and challenges.
- Review of the impact of the COVID-19 pandemic on healthcare practices.
- Examination of policy frameworks and best-practice principles for ACP.
Main Results:
- Key challenges include discomfort with discussions, legislative inconsistencies, poor document quality control, and accessibility issues.
- The COVID-19 pandemic highlighted problems but also fostered innovative ACP practices.
- Innovative practices developed during the pandemic are being sustained post-restrictions.
Conclusions:
- Ongoing work aims to address the needs of diverse communities and sectors in ACP.
- Efforts focus on achieving policy coherence and standardizing practice through principles, standards, and frameworks.
- Standardization and improved accessibility are crucial for effective ACP in Australia.
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