Advance care planning in the community: factors of influence

BMJ Supportive & Palliative Care
Joshua GallagherNanako Tamiya

Abstract

This study aims to identify factors among British community-based adults associated with advance care planning engagement. Factors are then compared among six domains of wishes: medical care, spiritual and religious needs, privacy and peace, dignified care, place of death and pain relief. Cross-sectional data were analysed from a stratified random sample of adults across Great Britain (England, Scotland and Wales) who were interviewed on their attitudes towards death and dying. Weighted multivariable logistic regression tested for associations with expressing any end-of-life wishes and then for each separate domain. Analysis of 2042 respondents (response rate: 53.5%) revealed those less likely to have discussed their wishes were: male, younger, born in the UK, owned their residence, had no experience working in health or social care, had no chronic conditions or disabilities, had not experienced the death of a close person in the last 5 years and feel neither comfortable nor uncomfortable or uncomfortable talking about death. Additional factors among the six domains associated with having not discussed wishes include: having less and more formal education, no religious beliefs, lower household income and living with at least on...Continue Reading

References

Mar 11, 2009·Archives of Internal Medicine·Baohui ZhangHolly G Prigerson
Mar 25, 2010·BMJ : British Medical Journal·Karen M DeteringWilliam Silvester
Apr 2, 2010·The New England Journal of Medicine·Maria J SilveiraKenneth M Langa
Apr 30, 2013·BMJ Supportive & Palliative Care·Julian AbelJulia Verne
Jun 19, 2013·Journal of Palliative Medicine·Natasja J H RaijmakersAgnes van der Heide
Oct 25, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Tim SharpStephen Barclay
Mar 20, 2014·BMJ Supportive & Palliative Care·Ana A TeixeiraUNKNOWN Canadian Researchers at End of Life Network (CARENET)
Mar 22, 2014·Palliative Medicine·Arianne Brinkman-StoppelenburgAgnes van der Heide
Apr 23, 2014·PloS One·Jonathan KoffmanIrene J Higginson
Aug 14, 2015·Palliative Medicine·Libby SallnowAllan Kellehear
Oct 9, 2015·BMJ : British Medical Journal·Kristian Pollock
Feb 3, 2016·BMJ Supportive & Palliative Care·Julian Abel, Allan Kellehear
May 8, 2016·Postgraduate Medical Journal·Lisa Jane Brighton, Katherine Bristowe
Feb 25, 2017·BMJ Supportive & Palliative Care·Vera P SarmentoBarbara Gomes
Apr 19, 2017·Behavioral Sciences·Maryjo Prince-Paul, Evelina DiFranco
Sep 9, 2017·The Lancet Oncology·Judith A C RietjensUNKNOWN European Association for Palliative Care
Aug 30, 2018·BMJ : British Medical Journal·David ReevesHarm van Marwijk

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Citations

Apr 4, 2021·International Journal of Environmental Research and Public Health·Chih-Chieh YenJin-Shang Wu

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