What Influences Individuals to Engage in Advance Care Planning?
What Influences Individuals to Engage in Advance Care Planning?
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DOI：
10.1177/1049909109355280
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发表时间：
2010-08-01
影响因子：
1.9
通讯作者：
Green, Michael J.
中科院分区：
文献类型：
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作者：
Levi, Benjamin H.;Dellasega, Cheryl;Green, Michael J.
背景：高级护理计划(ACP)是一个未得到充分利用的过程，它包括考虑如果需要的话，一个人想要什么样的延长生命的医疗护理，确定一个发言人，然后传达这些愿望。目的：更好地了解影响个体从事ACP的因素。设计：对宾夕法尼亚州中部3个不同人群的23名老年人进行了半结构化互动访谈的三个焦点小组。结果：参与ACP的影响分为四类：(1)关心自己；(2)关心他人；(3)对ACP影响的期望；(4)轶事、故事和经历。结论：我们确定的实施ACP的动机为卫生保健提供者提供了对促进患者ACP过程的有效策略的洞察力。
Background: Advance care planning (ACP) is an underutilized process that involves thinking about what kind of life-prolonging medical care one would want should the need arise, identifying a spokesperson, and then communicating these wishes. Objective: To better understand what influences individuals to engage in ACP. Design: Three focus groups using semistructured interactive interviews were conducted with 23 older individuals from 3 diverse populations in central Pennsylvania. Results: Four categories of influences for engaging in ACP were identified: (1) concern for self; (2) concern for others; (3) expectations about the impact of ACP; and (4) anecdotes, stories, and experiences. Conclusions: The motivations for undertaking ACP that we have identified offer health care providers insight into effective strategies for facilitating the process of ACP with their patients.