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Summary of evidence to facilitate the implementation of advance care planning among advanced cancer patients.

Authors :
Tan M
Tang S
Huang C
Xiao J
Ding J
Source :
Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences [Zhong Nan Da Xue Xue Bao Yi Xue Ban] 2024 Jan 28; Vol. 49 (1), pp. 135-144.
Publication Year :
2024

Abstract

Advance care planning (ACP) is designed to ensure that patients lacking autonomous decision-making capacity receive medical services in accordance with their expectations and preferences. Individuals with advanced cancer are a crucial target for ACP implementation. However, the current practice of ACP in this group in China is suboptimal, demanding high-quality implementation evidence to strengthen ACP in the clinical practice of patients with advanced cancer. The existing literature can be summarized into 27 pieces of evidence across 7 dimensions, including initiation time, intervention content, intervention providers, intervention modalities, communication skills, outcome indicators, and environmental support. The aforementioned evidence could provide crucial support for improving ACP implementation for patients with advanced cancer. Subsequent research efforts should integrate patient preferences and explore the most suitable implementation strategies for ACP in the Chinese population with advanced cancer, considering diverse aspects such as traditional culture, ACP education and training, legislative support, and healthcare system refinement.

Details

Language :
English; Chinese
ISSN :
1672-7347
Volume :
49
Issue :
1
Database :
MEDLINE
Journal :
Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences
Publication Type :
Academic Journal
Accession number :
38615175
Full Text :
https://doi.org/10.11817/j.issn.1672-7347.2024.230291