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Am J Hosp Palliat Care · Dec 2013
Factors associated with advance care planning discussions by area agency on aging care managers.
- Susan Hazelett, Kristin R Baughman, Barbara R Palmisano, Margaret Sanders, and Ruth E Ludwick.
- 1Summa Health System, Akron, OH, USA.
- Am J Hosp Palliat Care. 2013 Dec 1; 30 (8): 759-63.
BackgroundInitiating advance care planning (ACP) discussions in the home may prevent avoidable hospitalizations by elucidating goals of care. Area agencies on aging care managers (AAACMs) work in the home with high-risk consumers.PurposeTo determine which AAACM characteristics contribute to an increased frequency of ACP discussions.MethodCross-sectional investigator-generated surveys administered to AAACMs at 3 AAAs in Ohio.ResultsOf 289 AAACMs, 182 (63%) responded. The more experience and comfort AAACMs felt with ACP discussions, the more likely they were to initiate ACP discussions.DiscussionIt may be necessary to build interactive educational experiences where, for example, AAACMs are asked to fill out their own advance directives and/or facilitate others in ACP discussions to improve experience and comfort with ACP discussions.
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