Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan.
<h4>Background</h4>Although advance directives (AD) have been implemented for years in western countries, the concept of AD is not promoted extensively in eastern countries. In this study we evaluate a program to systematically conduct advance care planning (ACP) communication for hospit...
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197552&type=printable |
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| author | Dachen Chu Yung-Feng Yen Hsiao-Yun Hu Yun-Ju Lai Wen-Jung Sun Ming-Chung Ko Li-Ying Huang Chu-Chieh Chen J Randall Curtis Ya-Ling Lee Sheng-Jean Huang |
| author_facet | Dachen Chu Yung-Feng Yen Hsiao-Yun Hu Yun-Ju Lai Wen-Jung Sun Ming-Chung Ko Li-Ying Huang Chu-Chieh Chen J Randall Curtis Ya-Ling Lee Sheng-Jean Huang |
| author_sort | Dachen Chu |
| collection | DOAJ |
| description | <h4>Background</h4>Although advance directives (AD) have been implemented for years in western countries, the concept of AD is not promoted extensively in eastern countries. In this study we evaluate a program to systematically conduct advance care planning (ACP) communication for hospitalized patients in Taiwan and identify the factors associated with AD completion.<h4>Methods</h4>In this retrospective evaluation of a clinical ACP program, we identified adult patients with chronic life-limiting illness admitted to Taipei City Hospital between April 2015 and January 2016. Trained healthcare providers held an ACP meeting to discuss patients' preference regarding end-of-life care and AD completion. A multiple logistic regression was performed to determine the factors associated with the AD completion.<h4>Results</h4>A total of 2878 patients were determined to be eligible for ACP during the study, among which 1798 (62.5%) completed ACP and data was available for 1411 patients (49.1%). Of the 1411 patients who received ACP communication with complete data, the rate of AD completion was 82.6%. The overall mean (SD) age was 78.2 (14.4) years. Adjusting for other variables, AD completion was associated with patients aged ≥ 85 years [adjusted odds ratio (AOR) = 1.80, 95% CI 1.21-2.67], critical illness (AOR = 1.17, 95% CI 1.06-1.30), and social workers participating in ACP meetings (AOR = 1.74, 95% CI 1.24-2.45).<h4>Conclusion</h4>The majority of inpatients with chronic life-limiting illness had ACP communication as part of this ACP program and over 80% completed an AD. Our study demonstrates the feasibility of implementing ACP discussion in East Asia and suggests that social workers may be an important component of ACP communication with patients. |
| format | Article |
| id | doaj-art-4aef335dd81d4d5bbb78a911ca646882 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-4aef335dd81d4d5bbb78a911ca6468822025-08-20T02:45:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01137e019755210.1371/journal.pone.0197552Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan.Dachen ChuYung-Feng YenHsiao-Yun HuYun-Ju LaiWen-Jung SunMing-Chung KoLi-Ying HuangChu-Chieh ChenJ Randall CurtisYa-Ling LeeSheng-Jean Huang<h4>Background</h4>Although advance directives (AD) have been implemented for years in western countries, the concept of AD is not promoted extensively in eastern countries. In this study we evaluate a program to systematically conduct advance care planning (ACP) communication for hospitalized patients in Taiwan and identify the factors associated with AD completion.<h4>Methods</h4>In this retrospective evaluation of a clinical ACP program, we identified adult patients with chronic life-limiting illness admitted to Taipei City Hospital between April 2015 and January 2016. Trained healthcare providers held an ACP meeting to discuss patients' preference regarding end-of-life care and AD completion. A multiple logistic regression was performed to determine the factors associated with the AD completion.<h4>Results</h4>A total of 2878 patients were determined to be eligible for ACP during the study, among which 1798 (62.5%) completed ACP and data was available for 1411 patients (49.1%). Of the 1411 patients who received ACP communication with complete data, the rate of AD completion was 82.6%. The overall mean (SD) age was 78.2 (14.4) years. Adjusting for other variables, AD completion was associated with patients aged ≥ 85 years [adjusted odds ratio (AOR) = 1.80, 95% CI 1.21-2.67], critical illness (AOR = 1.17, 95% CI 1.06-1.30), and social workers participating in ACP meetings (AOR = 1.74, 95% CI 1.24-2.45).<h4>Conclusion</h4>The majority of inpatients with chronic life-limiting illness had ACP communication as part of this ACP program and over 80% completed an AD. Our study demonstrates the feasibility of implementing ACP discussion in East Asia and suggests that social workers may be an important component of ACP communication with patients.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197552&type=printable |
| spellingShingle | Dachen Chu Yung-Feng Yen Hsiao-Yun Hu Yun-Ju Lai Wen-Jung Sun Ming-Chung Ko Li-Ying Huang Chu-Chieh Chen J Randall Curtis Ya-Ling Lee Sheng-Jean Huang Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan. PLoS ONE |
| title | Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan. |
| title_full | Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan. |
| title_fullStr | Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan. |
| title_full_unstemmed | Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan. |
| title_short | Factors associated with advance directives completion among patients with advance care planning communication in Taipei, Taiwan. |
| title_sort | factors associated with advance directives completion among patients with advance care planning communication in taipei taiwan |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0197552&type=printable |
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