University of Agder, Grimstad, Norway; Centre for Medical Ethics, University of Oslo, Norway.
The Dignity Centre - Care for the old, Bergen, Norway.
Z Evid Fortbild Qual Gesundhwes. 2023 Aug;180:163-167. doi: 10.1016/j.zefq.2023.05.017. Epub 2023 Jul 1.
Advance Care Planning has a relatively short history in the Norwegian health care services. This article gives an overview of advance care planning research and its implementation in the health care services in Norway. Advance care planning has received increased attention from policymakers and the health care services. Research projects have been performed, and several are on-going. Implementation has largely treated advance care planning as a complex intervention, with a whole-system approach that puts emphasis on the conversation and patient activation. Advance directives have a peripheral role in this context.
在挪威的医疗保健服务中，预先医疗指示的历史相对较短。本文概述了预先医疗指示的研究及其在挪威医疗保健服务中的实施情况。预先医疗指示已引起政策制定者和医疗保健服务部门的更多关注。已经开展了一些研究项目，并且还有一些正在进行中。实施基本上将预先医疗指示视为一种复杂的干预措施，采用了一种全系统的方法，重点是对话和患者激活。在这种情况下，预先指示仅发挥次要作用。
