A Yet Unrealized Promise: Structured Advance Care Planning Elements in the Electronic Health Record.

ABSTRACT: Background: Electronic health records (EHRs) may help enable reliable, rapid data management for many uses, such as facilitating communication of advance care planning (ACP). However, issues with validity and accuracy of EHRs hinder the use of ACP information for practical applications. Design: We present a cross-sectional pilot study of 433 older adults with cancer from three large health care systems, participating in an ongoing multisite pragmatic trial (4UH3AG060626-02). We compared data extracted from dedicated structured EHR fields for ACP to a chart review of corresponding ACP documentation contained in the medical chart. Results: Structured ACP data existed for 43.2% of patients and varied by site (25.7% -48.9%). Of the identified structure

SUBMITTER: Lakin JR 

PROVIDER: S-EPMC8309417 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature