A New Standard for Advance Care Planning (ACP) Conversations in the Hospital: Results from a Delphi Panel.

ABSTRACT:

Background

Fewer than half of the US population has an advance healthcare directive. Hospitalizations offer a key opportunity for clinicians to engage patients in advance care planning (ACP) conversations. Guidelines suggest screening for the presence of "serious illness" but do not further specify how to prioritize the 12.4 million patients hospitalized each year.

Objective

To establish a normative standard for prioritizing hospitalized patients for ACP conversations.

Design and setting

A modified Delphi study, with three iterative rounds of online surveys.

Participants

Multi-disciplinary group of US-based clinicians with research and practical expertise in ACP.

Main measures

Indirect and direct elicitation of short-term and 1-year risk of mortality tha

SUBMITTER: Mohan D 

PROVIDER: S-EPMC7859119 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature