ArticleHealth expectations : an international journal of public participation in health care and health policy2021
Advance care directive prevalence among older Australians and associations with person-level predictors and quality indicators.
Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- Factors Associated with Advance Care Planning Engagement Among Community-Dwelling Older Adults: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- To Plan or Not to Plan? Experiences and Challenges of Older Swiss Adults Facing End-of-Life Decisions.Omega · 2026Article
- Culture, ethics and clinical practice for intensivists managing end of life care: an Australian perspective.Journal of intensive care · 2026Article
- Home ventilation patients: associations of having advance care plans with end-of-life healthcare utilisation.Journal of thoracic disease · 2025Article
- Developments in Advance Care Planning in Australia: Potential Opportunities and Roadblocks for an Increasingly Digital World.Journal of bioethical inquiry · 2024Article
- Association of advance care planning with hospital use and costs at the end of life: a population-based retrospective cohort study.BMJ open · 2024Article
- Acknowledgement and use of advance care directives and goals of care by emergency department staff: a mixed method post intervention study.BMC palliative care · 2024Observational
- Attitudes and Perceptions on Advance Care Planning Among Chinese-Speaking Older Australians.The American journal of hospice & palliative care · 2024Article
- Observational
- Article
- Doctor's Perceptions of the Systemic Influences on Advance Care Plan Application: A Thematic Analysis.Journal of multidisciplinary healthcare · 2024Article
- Perceptions, Attitudes, and Knowledge toward Advance Directives: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- A Revised Approach to Advance Personal Planning: The Role of Theory in Achieving "The Good Result".Journal of bioethical inquiry · 2023Article
- Factors Associated with Advance Directives Documentation: A Nationwide Cross-Sectional Survey of Older Adults in Korea.International journal of environmental research and public health · 2022Article
- Advance care directive prevalence among older Australians and associations with person-level predictors and quality indicators.Health expectations : an international journal of public participation in health care and health policy · 2021Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvance care planning (ACP) conversations may result in preferences for medical care being documented.
objectiveTo explore the uptake and quality of advance care directives (ACDs) among older Australians accessing health and aged care services, by overall ACP documentation prevalence, person-level predictors and ACD quality indicators. DESIGN AND
settingNational multi-centre health record audit in general practices (GP), hospitals and residential aged care facilities (RACF).
participantsA total of 4187 people aged ≥65 years attending their GP (n = 676), admitted to hospital (n = 1122) or residing in a RACF (n = 2389).
main outcome measuresACP documentation prevalence by setting and type including person-completed ACDs and non-ACD documents (completed by a health professional or someone else); person-level predictors and quality indicators of ACDs.
resultsOverall ACP documentation prevalence was 46.5% (29.2% weighted). ACD prevalence was 25.3% (14.2% weighted). Unweighted ACD prevalence was higher in RACFs (37.7%) than in hospitals (11.1%) and GPs (5.5%). 35.8% of ACP documentation was completed by a health professional (9.7% weighted), and 18.1% was completed by someone else (10.6% weighted). Having an ACD was positively associated with being female, older, having two or more medical conditions, receiving palliative care, being divorced/separated and being in a RACF. Only 73% of ACDs included full name, signature, document date and witnessing. CONCLUSIONS AND CONTRIBUTION: Low ACP documentation prevalence and a lack of accessible, person-completed and quality ACDs represent an important ACP implementation issue. Low prevalence is complicated by poor document quality and a higher prevalence of documents being completed by someone other than the person.
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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.