Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/26340
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dc.contributor.authorBuck, Kimberly-
dc.contributor.authorNolte, Linda-
dc.contributor.authorSellars, Marcus-
dc.contributor.authorSinclair, Craig-
dc.contributor.authorWhite, Ben P-
dc.contributor.authorKelly, Helana-
dc.contributor.authorMacleod, Ashley-
dc.contributor.authorDetering, Karen M-
dc.date2021-05-01-
dc.date.accessioned2021-05-03T05:19:34Z-
dc.date.available2021-05-03T05:19:34Z-
dc.date.issued2021-08-
dc.identifier.citationHealth Expectations 2021; 24(4): 1312-1325en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/26340-
dc.description.abstractAdvance care planning (ACP) conversations may result in preferences for medical care being documented. To 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. National multi-centre health record audit in general practices (GP), hospitals and residential aged care facilities (RACF). A total of 4187 people aged ≥65 years attending their GP (n = 676), admitted to hospital (n = 1122) or residing in a RACF (n = 2389). ACP 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. Overall 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. 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.en
dc.language.isoeng-
dc.subjectadvance care directiveen
dc.subjectadvance care planningen
dc.subjectaged care serviceen
dc.subjectgeneral practiceen
dc.subjecthealth serviceen
dc.subjectprevalenceen
dc.titleAdvance care directive prevalence among older Australians and associations with person-level predictors and quality indicators.en
dc.typeJournal Articleen
dc.identifier.journaltitleHealth Expectationsen
dc.identifier.affiliationFaculty of Health, Arts and Innovation, Swinburne University, Hawthorn, Vic., Australiaen
dc.identifier.affiliationAdvance Care Planningen
dc.identifier.affiliationNeuroscience Research Australia (NeuRA), Sydney, Australiaen
dc.identifier.affiliationAustralian Research Council Centre of Excellence in Population Ageing Research, University of New South Wales, Sydney, NSW, Australiaen
dc.identifier.affiliationAustralian Centre for Health Research Law, Faculty of Law, Queensland University of Technology, Brisbane, Qld, Australiaen
dc.identifier.affiliationDepartment of Health Services Research & Policy, Research School of Population Health, Australian National University, ACT, Australiaen
dc.identifier.affiliationSchool of Psychology, University of New South Wales, Sydney, NSW, Australiaen
dc.identifier.doi10.1111/hex.13264en
dc.type.contentTexten
dc.identifier.orcid0000-0001-9869-6824en
dc.identifier.pubmedid33932311-
local.name.researcherBuck, Kimberly
item.languageiso639-1en-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.cerifentitytypePublications-
crisitem.author.deptAdvance Care Planning-
crisitem.author.deptAdvance Care Planning-
crisitem.author.deptAdvance Care Planning-
crisitem.author.deptAdvance Care Planning-
crisitem.author.deptAdvance Care Planning-
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