Mann Jill, Gill Stephen D, Mitchell Lisa, Rogers Margaret J, Martin Peter, Quirk Frances, Corke Charlie
Aust Fam Physician. 2017 Sep;46(9):691-695.
Advance care planning (ACP) can positively affect end-of-life care experiences. However, uptake of ACP completion is low. The aim of this study was to investigate whether co-locating ACP facilitators in general practice increased participation METHODS: Barwon Health commenced promoting its ACP program in 2008. Trained ACP facilitators assisted consumers, which usually occurred in the program's community-based consulting rooms. From 2012 onwards, ACP facilitators were co-located with 18 general practices, where they assisted consumers at the point of care.
Referrals to the program increased from 2008-11 (n = 2520) to 2012-15 (n = 6847). Between 2012 and 2015, 48% of referrals to the program were from the 18 general practices with co-located ACP facilitators, and 93% of these referrals resulted in ACPs completed, compared with 74% from practices without co-located facilitators and 55% from all other sources (P DISCUSSION: Co-locating ACP facilitators in general practice increased the number of referrals to the program and produced higher plan completion rates.
预先照护计划（ACP）可对临终照护体验产生积极影响。然而，完成预先照护计划的比例较低。本研究旨在调查在全科医疗中安排ACP协助者是否能提高参与度。方法：巴旺健康中心于2008年开始推广其ACP项目。经过培训的ACP协助者为消费者提供帮助，通常是在该项目位于社区的咨询室里进行。从2012年起，ACP协助者与18家全科医疗机构设在同一地点，他们在医疗服务点为消费者提供帮助。
该项目的转诊量从2008 - 2011年的2520例增加到2012 - 2015年的6847例。2012年至2015年期间，该项目48%的转诊来自设有同地ACP协助者的18家全科医疗机构，其中93%的转诊最终完成了预先照护计划，相比之下，没有同地协助者的医疗机构转诊完成率为74%，其他所有来源的完成率为55%（P值讨论：在全科医疗中安排ACP协助者增加了该项目的转诊量，并提高了计划完成率。
