Association Between Advance Directives and Quality of End‐of‐Life Care: A National Study

Abstract

Bereaved family member report of completion of an AD was associated with greater use of hospice and fewer reported concerns with communication, yet important opportunities remain to improve the quality of end-of-life care.

Advance Care Planning in Belgium and The Netherlands: A Nationwide Retrospective Study Via Sentinel Networks of General Practitioners

“…3 Also, in the United Kingdom, a study concluded that discussions related to ACP are very rarely initiated among a group of chronically ill patients. 42 It seems safe to suggest that advance directives are still more prevalent in the United States than in Europe.…”

“…Research shows that more than a decade after the enactment, most (71%) of those U.S. citizens who experienced a nontraumatic death had completed an advance directive, and this was perceived by family members as being associated with better quality end-of-life care. 3,4 However, most of the literature suggests that merely between 18% and 30% of the U.S. general population have completed an advance directive, which may be considered as a low percentage in view of the widespread support for ACP. 5 In contrast to the research conducted in the U.S., relatively few studies have addressed the topic of ACP in Europe.…”

Advance Care Planning for Adults With CKD: A Systematic Integrative Review

“…It also increases the likelihood of a person dying in their preferred place, increases hospice use 14,15 , reduces hospitalisation 11,15 , leads to less 'aggressive' medical care at EOL 14,16,17 , and contributes to lower stress, anxiety and depression in surviving relatives 10,11,13,14 .…”

Testamento Vital

“…The subject of desire together with freedom is an old concept in philosophy; mankind has the sensation of being free during a voluntary act, but one must consider the involvement of conscious and unconscious components [1][2][3][4][5] .…”