Objectives for advance care planning.
Objectives for advance care planning.
复制标题
DOI：
10.1089/109662102320880516
复制
发表时间：
2002-10-01
影响因子：
2.8
通讯作者：
Tulsky, James A
中科院分区：
文献类型：
--
作者：
Kolarik, Russ C;Arnold, Robert M;Tulsky, James A
确定提前护理计划(ACP)的目标是改善生命末期护理的重要一步。以前对ACP的研究使用了许多不同的成功衡量标准。然而，对于机场核心计划的目标应该是什么，目前还没有达成共识。对机场核心计划的具体目标缺乏关注可能会导致沟通和研究不力。改善非加太项目成果的第一步是承认非加太项目可能实现的目标的多样性。卫生保健提供者、患者和代理人应确定并就特定对话的共同目标达成一致。随着时间的推移，可以使用各种方法、对话和形式来实现这些目标。从不同的角度阐明目标是朝着达到作出这些困难决定所需的理解水平迈出的重要一步。现在是时候让医生重新考虑他们与患者思考和讨论ACP的方式了。如果我们要改善生命末期的护理，未来的患者护理、研究和关于ACP的教育应该考虑到具体的目标。
Identifying objectives for advance care planning (ACP) is an important step toward improving care at the end of life. Previous studies of ACP have used many different measures of success. However, there has been no consensus on what should be the objectives for ACP. Lack of attention to specific objectives for ACP may lead to ineffective communication and research. The first step to improving outcomes in ACP is to acknowledge the diversity of objectives that ACP may achieve. Health care providers, patients, and surrogates should identify and agree on common objectives for particular conversations. Various methods, conversations, and forms may be used to achieve these objectives over time. Clarifying objectives from various perspectives is an important step toward achieving the level of understanding necessary to make these difficult decisions. It is time for physicians to reconsider the way in which they think about and discuss ACP with patients. If we are to improve care at the end of life, future patient care, research, and education about ACP should proceed with specific objectives in mind.