Yale School of Medicine (S.S.T.).
Program on Aging, Yale School of Medicine (J.R.O.); Department of Medicine, Yale School of Medicine (J.R.O., T.R.F.).
J Pain Symptom Manage. 2021 Oct;62(4):805-812. doi: 10.1016/j.jpainsymman.2021.03.003. Epub 2021 Mar 12.
While medical end-of-life planning has been well characterized, less is known about non-medical planning to prepare for the end of life.
To determine the prevalence of engagement in non-medical end-of-life (EOL) planning and its relationship to medical EOL planning.
Three hundred and four persons age 65 and older recruited from physician offices and a senior center were administered an in-person interview asking about participation in the following non-medical EOL planning behaviors: moving to a location with more help, teaching someone to do things around the house, purchasing long-term care insurance, telling someone the location of important documents, preparing a financial will, conveying wishes for funeral arrangements, purchasing a cemetery plot, and prepaying for a funeral.
Prevalence of participation in the different non-medical EOL planning activities varied widely, from 8% for prepaying for a funeral to 84% for telling someone the location of important documents. There was little overlap in the factors associated with participation in each activity. Conveying wishes for funeral arrangements and completing a financial will were associated with completing a living will (OR 2.69, 95% CI 1.51, 4.78; OR 6.70, 95% CI 3.18, 14.15) and communication about quality versus quantity of life (OR 4.52, 95% CI 2.54, 8.04; OR 2.47, 95% CI 1.25, 4.86).
There is variability in both the prevalence of and factors associated with engagement in non-medical EOL planning activities. The association of non-medical with medical planning activities supports the utility of programs assisting individuals with broad engagement in EOL planning.
尽管人们对医疗终末期计划（end-of-life planning，EOLP）已经有了很好的了解，但对非医疗 EOLP 的了解较少，后者旨在为生命末期做准备。
确定参与非医疗 EOLP 的流行程度及其与医疗 EOLP 的关系。
从医生办公室和老年人中心招募了 304 名年龄在 65 岁及以上的人，对他们进行了面对面的访谈，询问他们是否参与了以下非医疗 EOLP 计划行为：搬到有更多帮助的地方、教某人做房子周围的事情、购买长期护理保险、告诉某人重要文件的位置、准备财务遗嘱、传达葬礼安排的愿望、购买墓地和提前支付葬礼费用。
不同非医疗 EOLP 计划活动的参与率差异很大，从提前支付葬礼费用的 8%到告诉某人重要文件位置的 84%。参与每项活动的相关因素几乎没有重叠。传达葬礼安排的愿望和完成财务遗嘱与完成生前遗嘱（OR 2.69，95%CI 1.51，4.78；OR 6.70，95%CI 3.18，14.15）和关于生活质量与数量的沟通（OR 4.52，95%CI 2.54，8.04；OR 2.47，95%CI 1.25，4.86）有关。
参与非医疗 EOLP 计划活动的流行程度和相关因素存在差异。非医疗与医疗计划活动的关联支持了协助个人广泛参与 EOLP 的项目的实用性。
