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Achievements and challenges during the development of an advance care planning program

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Resource type
Journal Article
Authors/contributors
Title
Achievements and challenges during the development of an advance care planning program
Abstract
A nationwide program to promote preparation of advance care plans (AC Plans) was introduced in Canterbury, New Zealand, in 2013. The program was developed by local facilitators who provided support and organised education seminars and an accredited training program for health-care professionals. Information and templates for an AC Plan were available to these professionals and the community on local health-care websites and secure online systems designed to allow plans to be viewed across all health-care sectors. The number of AC Plans prepared has increased steadily, although people in minority ethnic populations or in the most deprived socioeconomic quintile are less likely to have a plan. While nurses have become the predominant group guiding people through the process of preparing an AC Plan, the involvement of staff in residential care homes has remained low. Local audit showed that 82% of people with an AC Plan died in a community setting, frequently their preferred place of death.
Publication
Australasian Journal on Ageing
Date
April 2021
Volume
n/a
Issue
n/a
DOI
10.1111/ajag.12945
URL
https://doi.org/10.1111/ajag.12945
Accessed
6/28/21, 2:34 AM
ISSN
1741-6612
Language
en
Library Catalog
Wiley Online Library
License
© 2021 AJA Inc.
Extra
_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1111/ajag.12945
Notes

Study topic
Development and evaluation of a regional advance care planning (ACP) program in Canterbury, New Zealand.

Study type
Program implementation and audit.

Key findings

  • Over 3,200 advance care plans were completed between 2013 and 2019, with 82% of individuals dying in a community setting, often their preferred place of death.
  • 13% reduction in people aged 75 years and over dying in hospital from 2013 to 2017.
  • Nurses became the predominant group facilitating ACP discussions, reflecting a shift in practice and increased training uptake.
  • People from minority ethnic groups and those in the most socioeconomically deprived quintile were significantly underrepresented among those with an ACP.
  • Despite targeted outreach, aged residential care facilities contributed relatively few plans, with most ACPs in this setting supported by general practice teams.
  • Online platforms such as Community HealthPathways and HealthInfo played a key role in disseminating ACP resources and enabling electronic sharing of plans across care settings.
Citation
Goodwin, J., Shand, B., Wiseman, R., Brough, N., McGeoch, G., Hamilton, G., & Grundy, K. (2021). Achievements and challenges during the development of an advance care planning program. Australasian Journal on Ageing, n/a(n/a). https://doi.org/10.1111/ajag.12945
Topic
Link to this record
https://researchbibliography.healthpathwayscommunity.org/bibliography/DUV77WXX