Overview of the Motivation of Advance Care Planning: A Study from a Medical Center in Taiwan
| Autor: | Jo Lan Hsu, Bo Ren Cheng, Tzeng Ji Chen, Yi Jhen He, Ming Hwai Lin, Shinn Jang Hwang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Advance care planning medicine.medical_specialty Health Toxicology and Mutagenesis media_common.quotation_subject Taiwan lcsh:Medicine Article 03 medical and health sciences Dignity 0302 clinical medicine motivation Health care medicine Humans Center (algebra and category theory) 030212 general & internal medicine advance care planning Aged Retrospective Studies media_common Entire population business.industry lcsh:R Public Health Environmental and Occupational Health Secondary data Subsidy advance directives Middle Aged health care agent 030220 oncology & carcinogenesis Family medicine Female Psychology business Autonomy |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 2 International Journal of Environmental Research and Public Health, Vol 18, Iss 417, p 417 (2021) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph18020417 |
| Popis: | (1) Background: Since Taiwan&rsquo s Patient Right to Autonomy Act took effect in 2019, up to ten thousand declarants have participated in advance care planning (ACP) and have signed advance directives (ADs). Relative to the entire population of Taiwan, only a small percentage have completed ACP. This study sought to understand the motivations of Taiwanese who have participated in ACP, so as to increase the percentage of individuals participating in ACP and signing ADs (2) Objectives: To understand the motivations that drive Taiwanese individuals to participate in ACP discussions. (3) Methods: A retrospective secondary data analysis was performed in this study. The participants consisted of declarants who completed their ACP at a medical center in Taiwan in 2019 (4) Results: During the study period, 946 individuals completed their ACP. Of those declarants, 66.7% were over 60 years of age 66.5% completed the process in groups of three or more 49.5% completed their ACP free of charge and 35 declarants had designated a health care agent (HCA). The declarants&rsquo four main motivations for participating in ACP were &ldquo looking forward to dying with dignity,&rdquo &ldquo making end-of-life preparations,&rdquo fear of being a social and economic burden on family members,&rdquo and &ldquo reluctance to let family members take on the responsibility of making decisions.&rdquo Furthermore, statistically significant differences were observed between the declarants in terms of gender, age, designation of an HCA, and motivations for participating in ACP. Females, declarants aged below 60 years, and declarants with a designated HCA tended to participate in ACP due to &ldquo reluctance to let family members to take on the responsibility of making decisions&rdquo Males, declarants aged above 60 years, and declarants without an HCA came for ACP because of &ldquo fear of being a social and economic burden on family members&rdquo (5) Conclusions: The main motivations of Taiwanese individuals who sought ACP were to die with dignity and to have an early understanding of end-of-life treatment and care models. Secondly, these individuals hoped that their families would not have to take on the responsibility of making decisions. They also did not want to impact their families socially and economically. In this regard, providing economic subsidies might enhance the Taiwanese public&rsquo s intentions to seek ACP discussions on their own initiative. |
| Databáze: | OpenAIRE |
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