English and Spanish-speaking vulnerable older adults report many barriers to advance care planning.

ABSTRACT:

Background/objectives

Advance care planning (ACP) rates are low in diverse, vulnerable older adults, yet little is known about the unique barriers they face and how these barriers impact ACP documentation rates.

Design

Validated questionnaires listing patient, family/friend, and clinician/system-level ACP barriers and an open-ended question on ACP barriers.

Setting

Two San Francisco public/Department of Veterans Affairs hospitals.

Participants

One thousand two hundred and forty-one English and Spanish-speaking patients, aged 55 and older, with two or more chronic conditions.

Measurements

The open-ended question on ACP barriers was analyzed using content analysis. We conducted chart review for prior ACP documentation. We used chi-square/Wilcoxon rank-sum

SUBMITTER: Phung LH 

PROVIDER: S-EPMC8373705 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature