Exploring Best Practices in Advance Care Planning
59th Medical Wing Lackland AFB United States
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Background The factors that influence completion of advance care planning for elderly adults in the primary care setting are poorly understood. System factors such as expansion of technological and medical options added to lists of tasks primary care providers are expected to complete in ever shrinking visit time, provider factors such as discomfort with end-of-life discussions, and patient factors such as impaired communication all contribute to low rates of completion. We hypothesized that prioritized utilization of motivational interviewing during a visit specified to address advance care planning will enhance completion rates of appropriate planning.