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Letter

Barriers to advance care planning in primary care

Ian Jack Hamilton
British Journal of General Practice 2016; 66 (651): 512-513. DOI: https://doi.org/10.3399/bjgp16X687289
Ian Jack Hamilton
Institute of Health and Wellbeing, University of Glasgow. E-mail:
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One of the main themes to emerge from Mitchell and colleagues’ qualitative data analysis is the importance of advance care planning (ACP) in identifying early palliative care needs and recognising the end of life.1 Other benefits of ACP include less aggressive medical care, improved quality of life near death, assisting families to prepare for a loved one’s death, resolving family conflict, and coping with bereavement.2 Patients however may not wish to engage in discussions about future care as it involves them thinking about a deterioration in their condition and some GPs may be unwilling to initiate ACP discussions as they feel discussing prognosis with patients will cause undue distress and destroy hope.3

ACP has the potential to promote patient autonomy and shared decision making,4 but without a significant change in patients’ perception and GP attitudes it is unlikely to be more widely adopted.

  • © British Journal of General Practice 2016

REFERENCES

  1. 1.↵
    1. Mitchell S,
    2. Loew J,
    3. Millington-Sanders C,
    4. Dale J
    (2016) Providing end-of-life care in general practice: findings of a national GP questionnaire survey. Br J Gen Pract doi:10.3399/bjgp16X686113, http://bjgp.org/content/66/650/e647.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Mullick A,
    2. Martin J,
    3. Sallnow L
    (2013) An introduction to advance care planning in practice. BMJ 347:f6064.
    OpenUrlFREE Full Text
  3. 3.↵
    1. Barnes K,
    2. Jones L,
    3. Tookman A,
    4. King M
    (2007) Acceptability of an advance care planning schedule: a focus group study. Palliat Med 21(1):23–28.
    OpenUrlCrossRefPubMed
  4. 4.↵
    1. Boyd K,
    2. Mason B,
    3. Kendall M,
    4. et al.
    (2010) Advance care planning for cancer patients in primary care: a feasibility study. Br J Gen Pract doi:10.3399/bjgp10X544032, http://bjgp.org/content/60/581/e449.
    OpenUrlAbstract/FREE Full Text
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British Journal of General Practice: 66 (651)
British Journal of General Practice
Vol. 66, Issue 651
October 2016
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Barriers to advance care planning in primary care
Ian Jack Hamilton
British Journal of General Practice 2016; 66 (651): 512-513. DOI: 10.3399/bjgp16X687289

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Barriers to advance care planning in primary care
Ian Jack Hamilton
British Journal of General Practice 2016; 66 (651): 512-513. DOI: 10.3399/bjgp16X687289
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