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- Title
Advance Care Planning Practice Patterns Before and During a Pandemic.
- Authors
Lee, Natasha; Perry, Laura M.; Hoerger, Michael; Thomas, Christina; Malhotra, Sonia
- Abstract
Introduction: The COVID-19 pandemic resulted in introspection of the United States health care infrastructure, especially with advance care planning (ACP). Methods: This is a retrospective chart review assessing the frequency of ACP discussions and formal documents reflecting ACP wishes in an outpatient palliative medicine (PM) practice. The study site was at University Medical Center New Orleans from pre-COVID-19 surge (November 2019–February 2020) to months during and post-COVID-19 surge (March–April 2020). Results: Results showed an increase in ACP discussions during the post-COVID-19 months. Patients seen during the surge and post-COVID-19 months were more likely to discuss medical power of attorney (odds ratio [OR] = 1.78, p = 0.045) and preferred code status (OR = 2.82, p < 0.001). Conclusion: Our study showed that more ACP discussions were conducted post-COVID-19 versus pre-COVID-19. However, formal documents reflecting these wishes were lacking. These results can help guide ACP use in crisis periods and improve understanding of ACP discussions in an outpatient PM clinic.
- Subjects
UNITED States; LOUISIANA; ACADEMIC medical centers; OUTPATIENT medical care; CONVERSATION; PUBLIC health infrastructure; RETROSPECTIVE studies; ADVANCE directives (Medical care); DOCUMENTATION; PALLIATIVE medicine; RESEARCH funding; PHYSICIAN practice patterns; ODDS ratio; COVID-19 pandemic; POWER of attorney
- Publication
Journal of Palliative Medicine, 2024, Vol 27, Issue 1, p246
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2023.0117