SynthesisBMC primary care2025
Patient perceptions of advance care planning within primary care: a systematic review of facilitators and barriers.
Synthesis in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Influencing factors and mediating effects of advanced medical care plan readiness in young and middle-aged patients with advanced cancer based on machine learning.BMC palliative care · 2026Article
- What makes serious illness conversations acceptable? A mixed-methods study of patient and caregiver experiences in oncology and cardiology.Palliative care and social practice · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdvance care planning is a key aspect of palliative care and aims to establish patient preferences for future care, benefiting patients and their families. Palliative care, including advance care planning, is often provided by primary care physicians. Levels of advance care planning, however, remain low internationally. We aimed to conduct a systematic literature review to understand the barriers and facilitators encountered by patients when considering advance care planning conversations within the primary care setting.
methodsFive electronic databases (Ovid MEDLINE, PubMed, PsycINFO, CINAHL and Scopus) and grey literature were searched in April 2025. Quantitative and qualitative data were extracted and synthesised using a convergent, integrated approach. The Mixed Methods Appraisal Tool was used to assess study quality.
resultsFrom 2495 articles, 48 studies were included. Barriers and facilitators can each be categorized into three themes, with further subthemes: 1) Professional factors, which encompassed the relationship between patient and healthcare professional, the skills and attributes of the healthcare professional, and the specific role of the healthcare professional in the advance care planning process; 2) Patient factors, including perceptions of self, family role, personal and religious views of advance care planning, and personal characteristics; 3) Features of the advance care planning conversation.
conclusionsTo enhance advance care planning uptake, there should be protection of relationships between healthcare professional and patient, adequate time for face-to-face conversations, and relevant training for healthcare professionals. More widely, increasing public awareness of these topics is vital. It is essential to balance standardisation to encourage and support these conversations, whilst maintaining an individualised approach.
Indexed as
Identifiers
What 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.