ArticlePloS one2016
How Do General Practitioners Conceptualise Advance Care Planning in Their Practice? A Qualitative Study.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Improving hospital-based end of life care processes and outcomes: a systematic review of research output, quality and effectiveness.BMC palliative care · 2017Pooled it
- Developing a set of key principles for care planning within older adult care homes: study protocol for a modified Delphi survey.BMJ open · 2025Article
- Article
- The patient's relationship with the General Practitioner before and after Advance Care Planning: pre/post-implementation study.BMC geriatrics · 2022Article
- Who should talk with patients about their end-of-life care wishes? A nationwide survey of the Hungarian population.Scandinavian journal of primary health care · 2022Article
- Occurrence and Timing of Advance Care Planning in Persons With Dementia in General Practice: Analysis of Linked Electronic Health Records and Administrative Data.Frontiers in public health · 2022Article
- Primary Care Professionals' Self-Efficacy Surrounding Advance Care Planning and Its Link to Sociodemographics, Background and Perceptions: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Article
- General practitioners' practical approach to initiating end-of-life conversations: a qualitative study.Family practice · 2020Article
- 'We have no crystal ball' - advance care planning at nursing homes from the perspective of nurses and physicians.Scandinavian journal of primary health care · 2019Article
- Article
- Significance of advance care planning in nursing homes: views from patients with cognitive impairment, their next of kin, health personnel, and managers.Clinical interventions in aging · 2019Article
- Experiences with approaches to advance care planning with older people: a qualitative study among Dutch general practitioners.BMJ open · 2018Article
- Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs.BMC palliative care · 2018Article
- Yonder: Advance care planning, osteopathy, HPV vaccination, and international medical graduates.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore how GPs conceptualise advance care planning (ACP), based on their experiences with ACP in their practice.
methodsFive focus groups were held with 36 GPs. Discussions were analysed using a constant comparative method.
resultsFour overarching themes in the conceptualisations of ACP were discerned: (1) the organisation of professional care required to meet patients' needs, (2) the process of preparing for death and discussing palliative care options, (3) the discussion of care goals and treatment decisions, (4) the completion of advance directives. Within these themes, ACP was both conceptualised in terms of content of ACP and/or in terms of tasks for the GP. A specific task that was mentioned throughout the discussion of the four different themes was (5) the task of actively initiating ACP by the GP versus passively waiting for patients' initiation.
conclusionsThis study illustrates that GPs have varying conceptualisations of ACP, of which some are more limited to specific aspects of ACP. A shared conceptualisation and agreement on the purpose and goals of ACP is needed to ensure successful implementation, as well as a systematic integration of ACP in routine practice that could lead to a better uptake of all the important elements of ACP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.