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Advance Care Planning: is quality end of life care really that simple?
Author(s) -
Johnson Stephanie,
Kerridge Ian,
Butow Phyllis N.,
Tattersall Martin H. N.
Publication year - 2017
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.13389
Subject(s) - advance care planning , medicine , end of life care , institutionalisation , psychological intervention , nursing , palliative care , quality of life (healthcare) , psychiatry
The routine implementation of Advance Care Planning ( ACP ) is now a prominent feature of policy directed at improving end of life care in Australia. However, while complex ACP interventions may modestly reduce medical care at the end of life and enable more people to die at home or outside of acute hospital settings, existing legal, organisational, cultural and conceptual barriers limit the implementation and utility of ACP . We suggest that meaningful improvements in end of life care will not result from the institutionalisation of ACP but from more significant changes to the design and delivery of care.