Asian patients’ perspectives on advance care planning: A mixed-method systematic review and conceptual framework

Martina, Diah and Geerse, Olaf P and Lin, Cheng-Pei and Kristanti, Martina S and Bramer, Wichor M and Mori, Masanori and Korfage, Ida J and van der Heide, Agnes and Rietjens, Judith AC and van der Rijt, Carin CD (2021) Asian patients’ perspectives on advance care planning: A mixed-method systematic review and conceptual framework. Palliative Medicine, 35 (10). 1776 – 1792. ISSN 02692163

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Abstract

Background: Asian healthcare professionals hold that patients’ families play an essential role in advance care planning. Aim: To systematically synthesize evidence regarding Asian patients’ perspectives on advance care planning and their underlying motives. Design: Mixed-method systematic review and the development of a conceptual framework (PROSPERO: CRD42018099980). Data sources: EMBASE, MEDLINE, Web of Science, and Google Scholar were searched for studies published until July 27, 2020. We included studies concerning seriously-ill Asian patients’ perspectives on advance care planning or their underlying motives for engaging or not engaging in it. Results: Thirty-six articles were included; 22 were quantitative and 27 were from high-income countries. Thirty-nine to ninety percent of Asian patients were willing to engage in advance care planning. Our framework highlighted that this willingness was influenced not only by their knowledge of their disease and of advance care planning, but also by their beliefs regarding: (1) its consequences; (2) whether its concept was in accordance with their faith and their families’ or physicians’ wishes; and (3) the presence of its barriers. Essential considerations of patients’ engagement were their preferences: (1) for being actively engaged or, alternatively, for delegating autonomy to others; (2) the timing, and (3) whether or not the conversations would be documented. Conclusion: The essential first step to engaging patients in advance care planning is to educate them on it and on their diseases. Asian patients’ various beliefs about advance care planning should be accommodated, especially their preferences regarding their role in it, its timing, and its documentation. © The Author(s) 2021.

Item Type: Article
Additional Information: Cited by: 30; All Open Access, Hybrid Gold Open Access
Uncontrolled Keywords: Advance Care Planning; Asians; Communication; Health Personnel; Humans; Patient Participation; advance care planning; China; conceptual framework; decision making; Embase; health care personnel; high income country; Hong Kong; human; living will; Malaysia; Medline; physician; quality control; resuscitation; Review; search engine; Singapore; South Korea; systematic review; Taiwan; Web of Science; Asian; interpersonal communication; patient participation
Subjects: R Medicine > RP Public Health and Nutrition
Divisions: Faculty of Medicine, Public Health and Nursing > Biomedical Sciences
Depositing User: Sri JUNANDI
Date Deposited: 28 Sep 2024 06:24
Last Modified: 28 Sep 2024 06:24
URI: https://ir.lib.ugm.ac.id/id/eprint/4451

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