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Completion of advance care planning prior to BMT is very important, but not often done.
We further hypothesize that this intervention will decrease health disparities for Blacks in completion of advance directives.
I was the senior author on an interventional study to improve the completion of advance directives among primary care patients.
This study was the basis for a systems wide intervention to improve the completion of advance directives among primary care practices affiliated with Partners Community Healthcare , Inc
The FAmily CEntered intervention arm is two face-to-face sessions with a trained, certified facilitator: Session 1) Disease-Specific Advance Care Planning Respecting Choices Interview; Session 2) Completion of advance directive.
Johnson, KS, Kuchibhatla, M, and Tulsky, JA. "What explains racial differences in the completion of advance directives?." April 2008.
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Much of the focus on advance care planning has been on improving the completion rate of advance directives.
Busy clinicians may use simple educational interventions to increase the completion rate of advance directives documenting patient preferences for cardiopulmonary resuscitation.
Patel, Sinuff and Cook conducted a systematic review of educational advance-care planning interventions directed at patients without terminal illness to determine their influence on the completion rate of advance directives.
We conducted a systematic review of educational advance care planning interventions for adults without terminal illness to determine their influence on the completion rate of advance directives for cardiopulmonary resuscitation.
Prior studies of quality improvement in end-of-life care have focused on specific outcomes deemed to be important from the providers' perspective, such as reducing time to first dose of analgesic, educating patients about pain control, or increasing the completion rate of advance directives [ 1- 6].
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