Patients’ characteristics (as measured before implementation) N=458 | |
Setting of inclusion | |
Care home | 14 (3.1) |
GP practice | 444 (96.9) |
Country of birth, NL* | 429 (93.7) |
Marital status, married* | 184 (41.1) |
Level of education* | |
Lower secondary education or lower | 239 (52.2) |
Higher secondary education | 103 (22.5) |
Tertiary education | 116 (25.3) |
Religious affiliation* | |
No specific religious affiliation or atheist | 256 (55.9) |
Protestant | 92 (20.1) |
Catholic | 57 (12.5) |
Other | 21 (4.6) |
Do not want to answer this question | 32 (7.0) |
Diagnosis (more than one answer possible)* | |
Cancer | 31 (7.0) |
Rheumatism/arthrosis | 126 (28.6) |
COPD | 44 (10.0) |
Diabetes | 57 (12.9) |
Heart condition | 115 (26.1) |
Stroke/cerebrovascular accident | 27 (6.1) |
Dementia | 7 (1.6) |
Depression | 21 (4.8) |
Other | 101 (22.9) |
None | 110 (24.9) |
Do you have a clear idea about future health problems that you might face? | |
Don’t know/no | 277 (61.6) |
Yes | 173 (38.4) |
Preferred timing of ACP, never (vs ever) | 18 (4.4) |
If ever, preferred timing of ACP is | |
Before someone is ill | 89 (23.0) |
At time of diagnosis of a possible life-threatening illness | 129 (33.3) |
When it is clear that it is no longer possible to cure from the illness | 169 (43.7) |
Reasons not to engage in ACP | |
My next of kin know what I want | 175 (38.2) |
I see no reason not to talk about it | 186 (40.6) |
I don’t want to think about the future or about getting (more) ill | 60 (13.1) |
My GP knows what I want | 40 (8.7) |
I am healthy, there is no reason to do so | 11 (2.4) |
I am afraid I don’t get the opportunity to change preferences later | 4 (0.9) |
I don’t know what the future will bring | 9 (2.0) |
Other reasons | 13 (2.8) |
*Characteristics at pre-measurement are reported, if missing in pre-measurement then answer at post-measurement was used in country of birth, education and religion. Missing data: marital status n=10; diagnosis n=17.
ACP, advance care planning; COPD, chronic obstructive pulmonary disease; GP, general practitioner; NL, the Netherlands.