Advance care planning (ACP) to promote receipt of value-concordant care: Results vary according to patient priorities.

ABSTRACT:

Background

Benefits of advance care planning (ACP) have recently been questioned by experts, but ACP is comprised of discrete activities. Little is known about which, if any, ACP activities are associated with patients' greater likelihood of receiving value-concordant end-of-life (EoL) care.

Objectives

To determine which ACP activities [Do-Not-Resuscitate (DNR) order completion, designation of a healthcare proxy (HCP), and/or EoL discussions with physicians], individually and in combination, are associated with the greatest likelihood of receiving value-concordant care, and how results may vary based on patient-reported EoL care priorities.

Methods

Data from 2 federally-funded, multisite, prospective cohort studies of EoL cancer care from 2002-2019 were analyzed. Canc

SUBMITTER: Prigerson HG 

PROVIDER: S-EPMC9833543 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature