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The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital
Advance care planning (ACP) provides access to complete advance decisions (ADs). Despite the legalization of ACP in Taiwan, it is underutilized in community settings. The objective of this study is to describe the service at a community hospital in Southern Taiwan. We retrospectively analyzed partic...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7999986/ https://www.ncbi.nlm.nih.gov/pubmed/33802074 http://dx.doi.org/10.3390/ijerph18062821 |
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author | Yen, Chih-Chieh Lin, Cheng-Pei Su, Yu-Ting Tsu, Chiu-Hua Chang, Li-Mei Sun, Zih-Jie Lin, Bing-Sheng Wu, Jin-Shang |
author_facet | Yen, Chih-Chieh Lin, Cheng-Pei Su, Yu-Ting Tsu, Chiu-Hua Chang, Li-Mei Sun, Zih-Jie Lin, Bing-Sheng Wu, Jin-Shang |
author_sort | Yen, Chih-Chieh |
collection | PubMed |
description | Advance care planning (ACP) provides access to complete advance decisions (ADs). Despite the legalization of ACP in Taiwan, it is underutilized in community settings. The objective of this study is to describe the service at a community hospital in Southern Taiwan. We retrospectively analyzed participants who were engaged in ACP consultations from January 2019 to January 2020. The characteristics, motivations, content, and satisfaction of participants are reported. Factors associated with refusing life-sustaining treatments (LST) or artificial nutrition/hydration (ANH) were analyzed using multivariate logistic regression. Of the 178 participants, 123 completed the ACP. The majority were female (64.2%), aged 61 on average and more than 80% had never signed a do-not-resuscitate order. In the ADs, most participants declined LST (97.2%) and ANH (96.6%). Family-related issues (48.9%) were the most prevalent motivations. Rural residence (OR 8.6, p = 0.005), increased age (OR 7.2, p = 0.025), and reluctance to consent to organ donation (OR 5.2, p = 0.042) correlated with refusing LST or ANH. Participants provided a positive feedback regarding overall satisfaction (good, 83%) compared to service charge (fair/poor, 53%). The study demonstrated high AD completion when refusing LST or ANH. These findings may facilitate the development of ACP as a community-based service. |
format | Online Article Text |
id | pubmed-7999986 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79999862021-03-28 The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital Yen, Chih-Chieh Lin, Cheng-Pei Su, Yu-Ting Tsu, Chiu-Hua Chang, Li-Mei Sun, Zih-Jie Lin, Bing-Sheng Wu, Jin-Shang Int J Environ Res Public Health Article Advance care planning (ACP) provides access to complete advance decisions (ADs). Despite the legalization of ACP in Taiwan, it is underutilized in community settings. The objective of this study is to describe the service at a community hospital in Southern Taiwan. We retrospectively analyzed participants who were engaged in ACP consultations from January 2019 to January 2020. The characteristics, motivations, content, and satisfaction of participants are reported. Factors associated with refusing life-sustaining treatments (LST) or artificial nutrition/hydration (ANH) were analyzed using multivariate logistic regression. Of the 178 participants, 123 completed the ACP. The majority were female (64.2%), aged 61 on average and more than 80% had never signed a do-not-resuscitate order. In the ADs, most participants declined LST (97.2%) and ANH (96.6%). Family-related issues (48.9%) were the most prevalent motivations. Rural residence (OR 8.6, p = 0.005), increased age (OR 7.2, p = 0.025), and reluctance to consent to organ donation (OR 5.2, p = 0.042) correlated with refusing LST or ANH. Participants provided a positive feedback regarding overall satisfaction (good, 83%) compared to service charge (fair/poor, 53%). The study demonstrated high AD completion when refusing LST or ANH. These findings may facilitate the development of ACP as a community-based service. MDPI 2021-03-10 /pmc/articles/PMC7999986/ /pubmed/33802074 http://dx.doi.org/10.3390/ijerph18062821 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Yen, Chih-Chieh Lin, Cheng-Pei Su, Yu-Ting Tsu, Chiu-Hua Chang, Li-Mei Sun, Zih-Jie Lin, Bing-Sheng Wu, Jin-Shang The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital |
title | The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital |
title_full | The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital |
title_fullStr | The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital |
title_full_unstemmed | The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital |
title_short | The Characteristics and Motivations of Taiwanese People toward Advance Care Planning in Outpatient Clinics at a Community Hospital |
title_sort | characteristics and motivations of taiwanese people toward advance care planning in outpatient clinics at a community hospital |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7999986/ https://www.ncbi.nlm.nih.gov/pubmed/33802074 http://dx.doi.org/10.3390/ijerph18062821 |
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