Performance Improvement 2009. How Useful, Feasible, Ethical and Successful Have Been Advance Directives and Advance Care Planning for Patients?


This study examined what the literature says about the utility, feasibility, ethical issues, and success of implementing advance directives and/or advance care planning for a diverse array of patient populations and across health care settings.

Advance care planning and discernment of end-of-life care preferences is an on-going process best accomplished through continuing communication among individuals, clinicians, and family members. In addition, multi-part interventions show that advance care planning and advance directives can be carried out successfully, at least in defined populations. Replication and extension from such interventions and implementation via health information technology hold promise for improving care toward the end of life.

Report Title: Literature Review on Advance Directives
Agency Sponsor: ASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Judith Peres, 202-690-6443
Performer: Rand Corporation
PIC ID: 8894

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"PerformanceImprovement2009.pdf" (pdf, 1.26Mb)

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