Advance Care Planning and Goals of Care Discussion: Barriers from the Perspective of Medical Residents.
Laiane Moraes DiasMayra de Almeida FrutigMirella Rebello BezerraWilliams Fernandes BarraLuisa CastroFrancisca RêgoPublished in: International journal of environmental research and public health (2023)
Twenty-nine residents answered the questionnaire (30.9%). The most reported barriers were related to patients and their families' difficulty in understanding and accepting the diagnosis and the prognosis as well as patients' desire to receive full active treatment. Furthermore, the physician and external factors such as lack of training and lack of time to have these conversations were also very important barriers. The identification of the key barriers that limit the discussion of ACP and early palliative care referrals can certainly help to prioritize the next steps for future studies aimed at improving ACP and goals of care discussions.
Keyphrases
- palliative care
- end stage renal disease
- healthcare
- advance care planning
- newly diagnosed
- chronic kidney disease
- emergency department
- prognostic factors
- peritoneal dialysis
- primary care
- quality improvement
- patient reported
- advanced cancer
- chronic pain
- pain management
- public health
- current status
- drug induced
- bioinformatics analysis