Identifying triggers for optimal timing of advance care planning in electronic primary health care records: a nested case-control study.

ABSTRACT:

Objectives

To explore whether routine electronic healthcare records can be used to identify triggers for initiating advance care planning (ACP) and the optimal time window to initiate ACP. We aimed to assess the prevalence of triggers for initiating ACP as defined for use in routine data, whether their presence is associated with death, and what their position is relative to a previously identified 'optimal time window for ACP'.

Design

Nested case-control study within a large dynamic population cohort dataset.

Setting

Primary care population-based, anonymised data extracted from GP centres in the South Holland province, The Netherlands.

Participants

We selected records of individuals aged ≥65 registered with their general practice from 1 Jan 2014 to 1 Jan 2017.

SUBMITTER: Tros W 

PROVIDER: S-EPMC12666204 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature