What do Canadians think of advanced care planning? Findings from an online opinion poll.
What do Canadians think of advanced care planning? Findings from an online opinion poll.
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DOI：
10.1136/bmjspcare-2013-000473
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发表时间：
2015-03
影响因子：
2.7
通讯作者：
Canadian Researchers at End of Life Network (CARENET)
中科院分区：
文献类型：
--
作者：
Teixeira AA;Hanvey L;Tayler C;Barwich D;Baxter S;Heyland DK;Canadian Researchers at End of Life Network (CARENET)
提前护理计划（ACP）有可能增加以患者为中心的护理，减轻护理人员的负担，并降低生命末期的医疗保健成本。目前公众参与非加太活动的程度尚不清楚。这项研究的目的是确定一般加拿大人参与非加太活动的程度。数据来自在线民意调查的受访者被问到五个问题的ACP活动沿着他们的社会人口特征的全国样本。受访者来自加拿大所有省份，52%为女性，33%年龄在45岁至54岁之间。 在1021名全国样本受访者中，16%的人知道ACP（95% CI 13%至18%），52%的人与家人或朋友讨论过（95% CI 49%至55%），10%的人与医疗保健提供者讨论过（95% CI 8%至12%）。总体而言，20%（95% CI 18%至22%）的受访者有书面的ACP，47%（95% CI 44%至50%）的受访者指定了替代决策者。年龄越大，参与非加太活动的人数就越多，加拿大各地的非加太参与情况也有显著差异。虽然只有一小部分加拿大人知道ACP这个正式术语，但实际上有更高比例的加拿大人通过讨论或决定临终关怀而参与ACP。老年公民更有可能参与ACP，加拿大各地ACP参与程度存在地理差异。
Advance care planning (ACP) has the potential to increase patient-centred care, reduce caregiver burden, and reduce healthcare costs at the end of life. Current levels of public participation in ACP activities are unknown. The purpose of this study was to determine the level of engagement of average Canadians in ACP activities. Data come from an on-line opinion poll of a national sample of respondents who were asked five questions on ACP activities along with their sociodemographic characteristics. Respondents were from all provinces of Canada, 52% were women, and 33% were between 45 years and 54 years of age. Of 1021 national sample respondents, 16% were aware of the term, ACP (95% CI 13% to 18%), 52% had discussions with their family or friends (95% CI 49% to 55%), and 10% had discussions with healthcare providers (95% CI 8% to 12%). Overall, 20% (95% CI 18% to 22%) of respondents had a written ACP and 47% (95% CI 44% to 50%) had designated a substitute decision maker. Being older was associated with significantly more engagement in ACP activities and there were significant differences in ACP engagement across Canada. Although only a small proportion of Canadians are aware of the formal term, ACP, a higher percentage of Canadians are actually engaged in ACP, through either having discussions or making decisions about end-of-life care. Older citizens are more likely to be engaged in ACP and there are geographic differences in the level of ACP engagement across Canada.
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影响因子：
2.8
作者：
Carr, Deborah
通讯作者：
Carr, Deborah
影响因子：
5.4
作者：
SINGER, PA;CHOUDHRY, S;LOWY, FH
通讯作者：
LOWY, FH
影响因子：
3.1
作者：
Perkins, HS;Cortez, JD;Hazuda, HP
通讯作者：
Hazuda, HP
DOI：
10.1111/j.1532-5415.1995.tb07199.x
发表时间：
1995-06-01
影响因子：
6.3
作者：
FRIED, TR;ROSENBERG, RR;LIPSITZ, LA
通讯作者：
LIPSITZ, LA
影响因子：
2.2
作者：
Neuman, K;Wade, L
通讯作者：
Wade, L