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Association Between Advance Directives and Quality of End-of-Life Care 

Association Between Advance Directives and Quality of End-of-Life Care
Chapter:
Association Between Advance Directives and Quality of End-of-Life Care
Author(s):

Donna S. Zhukovsky

DOI:
10.1093/med/9780190658618.003.0035
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date: 08 December 2019

Advance care planning is a complex process whereby an individual reflects on future care options at the end of life after reflecting on his or her values and goals for care. These values, goals, and preferences are then communicated to key stakeholders in the process (i.e., proxy and surrogate decision-makers, family members, and health care providers). It is unclear how well the completion of advance directives and a written outcome of advance care planning affect desired patient outcomes. In this chapter, a critical review is provided of a mortality follow-back survey that evaluates the association of advance directives with quality of end-of-life care from the perspective of bereaved family members. Study strengths and limitations are described, as are directions for future research.

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