Prevalence and predictors of advance directives in Australia

White, B., Tilse, C., Wilson, J., Rosenman, L., Strub, T., Feeney, R. and Silvester, W. (2014) Prevalence and predictors of advance directives in Australia. Internal Medicine Journal, 44 10: 975-980. doi:10.1111/imj.12549


Author White, B.
Tilse, C.
Wilson, J.
Rosenman, L.
Strub, T.
Feeney, R.
Silvester, W.
Title Prevalence and predictors of advance directives in Australia
Journal name Internal Medicine Journal   Check publisher's open access policy
ISSN 1444-0903
1445-5994
Publication date 2014-10
Year available 2014
Sub-type Article (original research)
DOI 10.1111/imj.12549
Open Access Status
Volume 44
Issue 10
Start page 975
End page 980
Total pages 6
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2015
Language eng
Formatted abstract
Background
Advance care planning is regarded as integral to better patient outcomes, yet little is known about the prevalence of advance directives (AD) in Australia.

Aim
To determine the prevalence of AD in the Australian population.

Methods
A national telephone survey about estate and advance planning. Sample was stratified by age (18–45 and >45 years) and quota sampling occurred based on population size in each state and territory.

Results
Fourteen per cent of the Australian population has an AD. There is state variation with people from South Australia and Queensland more likely to have an AD than people from other states. Will making and particularly completion of a financial enduring power of attorney are associated with higher rates of AD completion. Standard demographic variables were of limited use in predicting whether a person would have an AD.

Conclusions
Despite efforts to improve uptake of advance care planning (including AD), barriers remain. One likely trigger for completing an AD and advance care planning is undertaking a wider future planning process (e.g. making a will or financial enduring power of attorney). This presents opportunities to increase advance care planning, but steps are needed to ensure that planning, which occurs outside the health system, is sufficiently informed and supported by health information so that it is useful in the clinical setting. Variations by state could also suggest that redesign of regulatory frameworks (such as a user-friendly and well-publicised form backed by statute) may help improve uptake of AD.
Keyword Advance directive
Advance care planning
End of life decision making
Medical law
Care
Impact
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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