Association Between Region of Birth and Advance Care Planning Documentation Among Older Australian Migrant Communities: A Multicenter Audit Study

Association of experience with illness and end-of-life care with advance care planning in older adults

Craig Sinclair, Marcus Sellars, Kimberly Buck, Karen M Detering, Ben P White, Linda Nolte and Deborah S Carr

The Journals of Gerontology: Series B, 2021, vol. 76, issue 1, 109-120

Abstract: ObjectivesThis study explored associations between birth region, sociodemographic predictors, and advance care planning (ACP) uptake.MethodsA prospective, multicenter, cross-sectional audit study of 100 sites across 8 Australian jurisdictions. ACP documentation was audited in the health records of people aged 65 years or older accessing general practice (GP), hospital, and long-term care facility (LTCF) settings. Advance care directives (ACDs) completed by the person (“person completed ACDs”) and ACP documents completed by a health professional or other person (“health professional or someone else ACP”) were counted. Hierarchical multilevel logistic regression assessed associations with birth region.ResultsFrom 4,187 audited records, 30.0% (1,152/3,839) were born outside Australia. “Person completed ACDs” were less common among those born outside Australia (21.9% vs 28.9%, X2 (1, N = 3,840) = 20.3, p

Keywords: Advance care directive; Autonomy; Cultural and linguistic diversity; End-of-life care (search for similar items in EconPapers)
Date: 2021
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