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What factors are associated with advance care planning in community-dwelling older people? : data from TILDA
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Purpose: To assess advance care planning (ACP) in a large population-representative sample of older people.
Methods: At Wave 4 of the Irish Longitudinal Study on Ageing, participants were asked: Have you made your wishes/preferences known about the kind of care that you would like to receive in the event of serious illness?
Results: One quarter (1153/4831) had discussed ACP. Of those, 90% had discussed with family/friends, 10% documented ACP in writing, while 2% had discussed with a healthcare professional. Age = 80 years [OR 1.63 (1.31–2.02)], female sex [OR 1.58 (1.37–1.83)], higher educational attainment [OR 1.42 (1.18–1.71)], poorer self-rated health [OR 1.67 (1.06–2.62)] and lower levels of religiosity [OR 1.50 (1.02–2.19)] were independently associated with ACP.
Conclusion: Only one in four older people had discussed ACP informally, while less than 3% have ACP documented in writing. Further work is required to educate the public and healthcare professionals regarding treatment choices at end-of-life.
http://dx.doi.org/10.1007/s41999-021-00593-2
Voir la revue «European geriatric medicine, 13»
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