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Journal article

Locating advance care planning facilitators in general practice increases consumer participation

1 Sep 2017
Description

Background

Advance care planning (ACP) can positively affect end-of-life care experiences. However, uptake of ACP completion is low. The aim of this study was to investigate whether co-locating ACP facilitators in general practice increased participation

Methods

Barwon Health commenced promoting its ACP program in 2008. Trained ACP facilitators assisted consumers, which usually occurred in the program’s community-based consulting rooms. From 2012 onwards, ACP facilitators were co-located with 18 general practices, where they assisted consumers at the point of care.

Results

Referrals to the program increased from 2008–11 (n = 2520) to 2012–15 (n = 6847). Between 2012 and 2015, 48% of referrals to the program were from the 18 general practices with co-located ACP facilitators, and 93% of these referrals resulted in ACPs completed, compared with 74% from practices without co-located facilitators and 55% from all other sources (P <0.01).

Discussion

Co-locating ACP facilitators in general practice increased the number of referrals to the program and produced higher plan completion rates.

Publication Details
Volume: 
46
Issue: 
9
Pagination: 
691-695
License Type: 
All Rights Reserved
Peer Reviewed: 
Yes
Published year only: 
2017
37
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