Feasibility of Advance Care Planning in Primary Care for Homeless Adults
Bibliographic Data
| ID | 12798652 |
|---|---|
| Authors | Laura Kaplan-Weisman (0000-0001-5074-8672, The Institute for Family Health, New York, NY, USA, corresponding author), Sara Sansone (0000-0002-1636-2087, The Institute for Family Health, New York, NY, USA), Eve Walter (0000-0001-6766-9575, The Institute for Family Health, New York, NY, USA), Casey Crump (0000-0002-2990-1166, The Institute for Family Health, New York, NY, USA) |
| Year | 2019 |
| Volume | 32 |
| Issue | 7-8 |
| Pages | 880-891 |
| Publication date | 2019-07-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Aging and Health (JOURNAL) |
| Journal identifiers | ISSN: 1552-6887 • E-ISSN: 0898-2643 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/0898264319862420 |
| PMID | 31303084 |
| OpenAlex | W2961294452 |
| Language | EN |
| Citations received | 3 |
| References cited | 30 |
Objectives: As the homeless population ages, it is imperative to improve access to advance care planning (ACP) and document preferences in case medical decision-making capacity is lost. Methods: We implemented an ACP Project to discuss and document advance care plans with all patients aged 45 and older who received primary care at our adult Homeless Program clinics. Results: Over 14 months, ACP was discussed with 48% ( n = 138) of the population and health care proxy (HCP) appointment with 91% ( n = 125) of these patients. Most (62%; n = 77) appointed a HCP from personal relationships, though a significant minority (38%; n = 48) could not and were considered "surrogateless." End-of-life preferences varied. Approximately 20% of patients wanted to defer to a surrogate for each decision. Discussion: ACP is feasible in primary care for adults who have experienced homelessness and should be incorporated into routine care
Advance care planning · Environmental health · Family medicine · Health care · Palliative care · Population · Primary care · Proxy (statistics · Geriatric Care and Nursing Homes · Homelessness and Social Issues · Medicine · Nursing · Palliative Care and End-of-Life Issues · Gerontology
Mortality Among Homeless Adults in Boston
Homelessness as an independent risk factor for mortality
Defining Advance Care Planning for Adults
Health Status and Health Care Experiences among Homeless Patients in Federally Supported Health Centers
The Effectiveness of Interventions to Increase Advance Directive Completion Rates
The Effect of Advance Directive Completion on Hospital Care Among Chronically Homeless Persons
Utilization of Advance Care Planning for Homeless Adults
The Age Structure of Contemporary Homelessness
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,43 |
| Citation span | 2019 - 2024 (6) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |