Physician use of advance care planning discussions in a diverse hospitalized population.

Journal of Immigrant and Minority Health
Sonali P KulkarniEliseo J Pérez-Stable

Abstract

Two decades after the Patient Self Determination Act it is unknown how often physicians have advance care planning (ACP) discussions with hospitalized patients. The objective of this study is to investigate use of ACP discussions in a multi-ethnic, multi-lingual hospitalized population. Cross-sectional communication study of hospitalized patients. The Participants are 369 patients at one urban county hospital and one academic medical center. Interventions are not applicable. Participants were asked at baseline and a post-discharge interview whether hospital physicians had discussed either (a) what type of treatment they would want if they could not make decisions for themselves or (b) whether they would want cardiopulmonary resuscitation if needed. We compared patient characteristics for those who did and did not have an ACP discussion. Only 151 (41%) participants reported an ACP discussion. Rates of ACP were low across ethnic, language, education and age groups. In a multivariate model, scoring higher on a co-morbidity scale was associated with higher odds of reporting having had an ACP discussion during hospitalization; this finding remained after adjusting for time period and site of data collection. Multiethnic, multi-lingu...Continue Reading

References

Apr 1, 1995·Journal of the American Geriatrics Society·L L EmanuelP A Singer
Jul 12, 2008·Journal of General Internal Medicine·Leah S KarlinerEliseo J Pérez-Stable
Dec 17, 2008·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Andrew D AuerbachDavid Meltzer
Mar 11, 2009·Archives of Internal Medicine·Amresh HanchateEzekiel Emanuel

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Citations

Nov 30, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Iraida V CarrionHeide Castañeda
Feb 19, 2021·Journal of Clinical Psychology in Medical Settings·Natacha D Emerson, Brenda Bursch
Jun 2, 2021·Journal of the American Geriatrics Society·Linda H PhungRebecca L Sudore

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