Decision Aids for Advance Care Planning. Effective Health Care Program. Technical Brief Number 16.

摘要

Advance care planning (ACP) honors patients goals and preferences for future care by creating a plan for when illness or injury prevents adequate communication. ACP can also help patients assess their care options. Less than 50 percent of severely or terminally ill patients have an advance directive in their medical record, and physicians are only about 65 percent accurate in predicting patient preferences. Decision aids can provide a structured approach to informing patients about options and prompting them to document and communicate their preferences. We developed a technical brief on the state of practice and current research for decision aids for adult ACP and to provide a framework for future research and effort.