RT Journal Article
SR Electronic
T1 Advance care planning: the future
JF BMJ Supportive & Palliative Care
JO BMJ Support Palliat Care
FD British Medical Journal Publishing Group
SP 89
OP 91
DO 10.1136/bmjspcare-2020-002304
VO 11
IS 1
A1 Judith Rietjens
A1 Ida Korfage
A1 Mark Taubert
YR 2021
UL http://spcare.bmj.com/content/11/1/89.abstract
AB Objectives There is increased global focus on advance care planning (ACP) with attention from policymakers, more education programmes, laws and public awareness campaigns.Methods We provide a summary of the evidence about what ACP is, and how it should be conducted. We also address its barriers and facilitators and discuss current and future models of ACP, including a wider look at how to best integrate those who have diminished decisional capacity.Results Different models are analysed, including new work in Wales (future care planning which includes best interest decision-making for those without decisional capacity), Asia and in people with dementia.Conclusions ACP practices are evolving. While ACP is a joint responsibility of patients, relatives and healthcare professionals, more clarity on how to apply best ACP practices to include people with diminished capacity will further improve patient-centred care.