Use of Video Decision Aids to Promote Advance Care Planning in Hilo, Hawai'i.

ABSTRACT:

Introduction

Advance care planning (ACP) seeks to promote care delivery that is concordant with patients' informed wishes. Scalability and cost may be barriers to widespread ACP, and video decision aids may help address such barriers.

Aim

Our primary hypothesis was that ACP documentation would increase in Hilo after ACP video implementation. Secondary hypotheses included increased use of hospice, fewer deaths in the hospital, and decreased costs in the last month of life.

Setting

The city of Hilo in Hawai'i (population 43,263), which is served by one 276-bed hospital (Hilo Medical Center), one hospice (the Hospice of Hilo), and 30 primary care physicians.

Program description

The intervention consisted of a single, 1- to 4-h training and access to a suite of ACP

SUBMITTER: Volandes AE 

PROVIDER: S-EPMC4978682 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature