Rural health services' relationships with patients: An enabler and a barrier to advance care planning.
doctor-patient relationships
end-of-life-care
interviews
rural and regional healthcare
support
Journal
The Australian journal of rural health
ISSN: 1440-1584
Titre abrégé: Aust J Rural Health
Pays: Australia
ID NLM: 9305903
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
21
02
2019
revised:
24
05
2019
accepted:
29
05
2019
pubmed:
7
12
2019
medline:
16
5
2020
entrez:
7
12
2019
Statut:
ppublish
Résumé
The barriers and enablers to the uptake of advance care plans has been well documented but more so in metropolitan health services. Rural and regional areas have their own challenges of higher rates of chronic illness and an aging population when considering end of life care. This study aimed to explore the creation of advance care plans in a regional location that has service links to smaller health services. A qualitative study involving thematic analysis of interview data. A regional local government area in Victoria, Australia. Twelve representatives from rural and regional health services, including hospital, private practice and community organisation staff. Barriers and enablers to the creation of advance care planning documents. The data analysis yielded two main identified themes around Plan creation and communication of patient wishes: system and societal challenges to the creation and communication in advance care planning; and rural communities' expectation of the health service-patient relationship and advance care planning. Although barriers to advance care planning are well known, rural and regional practitioners need to be aware of the effect long-term continuity of care from health practitioners and connections with health services has on advance care plan creation, and whether the paucity of written Plans effects end-of-life care. A potential solution was seen in the pending linkages to the national electronic patient record.
Types de publication
Journal Article
Langues
eng
Pagination
563-567Subventions
Organisme : Better Care Victoria
ID : IF17186
Informations de copyright
© 2019 National Rural Health Alliance Ltd.
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