Assessing the Knowledge, Perceptions and Practices in Advance Care Planning: A Comparison between American and Japanese Physicians

Freshman, Brenda; Yao, Xin

doi:10.15406/hpmij.2017.01.00010

Cited by 1 publication

(3 citation statements)

References 9 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding the quantitative analysis, we collected the participants' profiles, clinical backgrounds, and perceptions of ACP through single-or multiple-choice questionnaires adapted or modified from previous literature (Q1-11, 15-23; see Appendices) [2][3][4][5]. The agreement of the original question (Q12-14) was measured on a 5-point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

“…Although we did not conduct specific assessments, such as test-retest reliability or parallel-form reliability, within the same sample, we assumed that the validated questions developed from previous literature were reliable [2][3][4][5]. To verify the face validity of the questionnaire, we reviewed the questions among the coauthors for clarity, use of appropriate language, question order, and variety of options.…”

Section: Methodsmentioning

confidence: 99%

“…However, only a few studies have compared clinicians' international perceptions of and experiences with ACP. Freshman and Yao examined the differences in approaches and perceptions of ACP between multispecialty physicians at a Japanese and an American medical center in 2017 [3]. They revealed that most Japanese physicians and more than half of American physicians did not have an AD on file, although both recognized the importance of ACP.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Family Physicians' Perspectives and Practices on Advance Care Planning in Regional Cities in Japan and the United States: A Convergent Parallel Mixed-Methods Study

Kita,

Kuroda,

Saito

et al. 2024

Cureus

View full text Add to dashboard Cite

Background: Advance care planning (ACP) has been widely recognized and practiced worldwide since the 1990s. However, only a few studies have compared clinicians' international perceptions of and experiences with ACP. Therefore, this study explored the perceptions and practices of family physicians (FPs) regarding ACP in Japan and the United States.Methods: We conducted a convergent parallel mixed-methods study using a cross-sectional web-based anonymous questionnaire survey to examine how the perceptions and practices of ACP differ between Japanese and American FPs working in regional cities.Results: Responses from 20 and 19 FPs in Japan and the United States were obtained, respectively. Both FP groups received ACP training during their residency and practiced ACP with the highest regard for the patient's wishes and values. Quantitative analysis revealed that American FPs placed more emphasis on documentation and patient language skills. Qualitative analysis revealed that Japanese FPs equally emphasized communication with patients' families and with patients. We merged the results of both analyses and hypothesized that the variations in the FPs' approaches to ACP might reflect variations in their backgrounds, such as health insurance systems, cultures, and values in the two countries, rather than differences between individual physicians. Conclusion: Our study showed that both Japanese and American FPs respect patients' wishes in ACP, with some differences in their perceptions and practices. Therefore, FPs should understand and be flexible with their patients' values and cultural backgrounds as intercultural translators while following appropriate management procedures for successful ACP.

show abstract

Section: Methodsmentioning

confidence: 99%