ArticleCanadian family physician Medecin de famille canadien2018
Barriers to and enablers of advance care planning with patients in primary care: Survey of health care providers.
Article in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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
64 citing papers in PubMed.
- Trial
- Experiences with implementing advance care planning (ACP-GP) in Belgian general practice in the context of a cluster RCT: a process evaluation using the RE-AIM framework.BMC primary care · 2024Trial
- Using a Video Game Intervention to Increase Hospitalists' Advance Care Planning Conversations with Older Adults: a Stepped Wedge Randomized Clinical Trial.Journal of general internal medicine · 2023Trial
- Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis.Journal of medical Internet research · 2023Trial
- Trial
- Advance care planning in people with intellectual disabilities, more than 'to resuscitate or not to resuscitate': A qualitative interview study with general practitioners and family caregivers.The European journal of general practice · 2026Article
- Evaluating a motivational interviewing-based communication program for nurses in advance care planning: a quasi-experimental study.BMC palliative care · 2026Article
- Impact of nurse-led advance care planning in a primary care setting.Palliative & supportive care · 2026Article
- Review
- Advance Care Planning in German General Practice: A Longitudinal Qualitative Study on Patients' Expectations and Experiences.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Enhancing Advance Care Planning in Primary Care: A Three-Year Implementation Study in Nebraska.Journal of the American Geriatrics Society · 2025Article
- The perspectives on advance care planning of older people with psychotic illnesses and their carers.European geriatric medicine · 2025Article
- Role self-ascription of professionals conducting advance care planning conversations: A thematic analysis.Palliative medicine · 2025Article
- Role of Uncertainty in Illness and Coping Strategies in Advance Directive Completion in Patients With End-stage Liver Disease.Journal of clinical gastroenterology · 2025Article
- Article
- Paying for advance care planning in medicare: Impacts on care and spending near end of life.Journal of health economics · 2024Article
- A Quality Improvement Initiative for Inpatient Advance Care Planning.JAMA health forum · 2024Article
- Increasing goals of care conversations in primary care: Study protocol for a cluster randomized, pragmatic, sequential multiple assignment randomized trial.Contemporary clinical trials · 2024Article
- Promoting serious illness conversations in primary care through telehealth among persons living with cognitive impairment.Journal of the American Geriatrics Society · 2024Article
- Clinicians' experiences implementing an advance care planning pathway in two Canadian provinces: a qualitative study.BMC primary care · 2024Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify barriers to and enablers of advance care planning (ACP) perceived by physicians and other health professionals in primary care.
designCross-sectional, self-administered survey.
settingOntario, Alberta, and British Columbia.
participantsFamily physicians (n = 117) and other health professionals (n = 64) in primary care.
main outcome measuresPerceived barriers relating to the clinician, characteristics of patients, and system factors, rated on a 7-point scale from 0 (not at all) to 6 (an extreme amount), and enablers reported using an open-ended question.
resultsBetween November 2014 and June 2015, questionnaires were returned by 72.2% (117 of 162) of family physicians and 68.8% (64 of 93) of the other health professionals. Physicians rated insufficient time, inability to electronically transfer the advance care plan across care settings, decreased interaction with patients near the end of life owing to transfer of care, and patients' difficulty understanding limitations and complications of treatment options as the highest barriers. Other health professionals additionally identified their own lack of knowledge and difficulty accessing the physician as barriers. Themes identified as enablers included greater public engagement, clinician attitudes, creating capacity for clinicians, integrating ACP into practice, and system and policy supports.
conclusionIn primary care, there are barriers to engaging patients in ACP at the patient, provider, and system levels that could potentially be addressed through the informed development of multifaceted interventions.
Indexed as
Identifiers
29650621PMC5897087What OpenQuestion holds
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.