Advance care planning after hospital discharge: qualitative analysis of facilitators and barriers from patient interviews.

ABSTRACT:

Background

Patients who engage in Advance Care Planning (ACP) are more likely to get care consistent with their values. We sought to determine the barriers and facilitators to ACP engagement after discharge from hospital.

Methods

Prior to discharge from hospital eligible patients received a standardized conversation about prognosis and ACP. Each patient was given an ACP workbook and asked to complete it over the following four weeks. We included frail elderly patients with a high risk of death admitted to general internal medicine wards at a tertiary care academic teaching hospital. Four weeks after discharge we conducted semi-structured interviews with patients. Interviews were transcribed, coded and analysed with thematic analysis. Themes were categorized according to the

SUBMITTER: Peck V 

PROVIDER: S-EPMC6282276 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature