Engagement and attitudes towards advanced care planning in primary care during COVID-19 : a cross-sectional survey of older adults

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BZURA, Matthew | KUBBA, Haidar | WEST, Steve | SCHRAMM, Lori | CLAY, Adam T. | NILSON, Solveig

Advance care plans (ACPs) increase patient-centered care, reduce caregiver burden and healthcare costs. However, only about 25% of Canadians over 50 years of age have completed an ACP. An anonymous, cross-sectional survey was distributed to those =70 years attending a primary care clinic-based COVID-19 vaccination event in Regina, SK in April 2021. The survey included questions about demographics, attitudes, engagement in ACPs according to the Stage of Change model, and patient-reported influence of COVID-19 on ACP thoughts or actions. One hundred thirty-four surveys were completed (96% response rate). Twenty-seven percent of respondents were at the precontemplation stage, 21% at contemplation stage, 16% at planning stage, 26% at action stage, and 10% at maintenance stage. Thirty-three percent of respondents had thought more about ACPs during the pandemic, but few updated or created plans. Most respondents felt comfortable talking with their physician and partners. There is a need for physicians to initiate ACP conversations with patients.

https://doi.org/10.1080/09699260.2022.2152987

Voir la revue «PROGRESS IN PALLIATIVE CARE, 31»

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