"Don't Talk to Them About Goals of Care": Understanding Disparities in Advance Care Planning.

ABSTRACT:

Background

Structurally marginalized groups experience disproportionately low rates of advance care planning (ACP). To improve equitable patient-centered end-of-life care, we examine barriers and facilitators to ACP among clinicians as they are central participants in these discussions.

Method

In this national study, we conducted semi-structured interviews with purposively selected clinicians from 6 diverse health systems between August 2018 and June 2019. Thematic analysis yielded themes characterizing clinicians' perceptions of barriers and facilitators to ACP among patients, and patient-centered ways of overcoming them.

Results

Among 74 participants, 49 (66.2%) were physicians, 16.2% were nurses, and 13.5% were social workers. Most worked in primary care (35.1%), g

SUBMITTER: Ashana DC 

PROVIDER: S-EPMC8824574 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature