decisionhealth Newsletters, Part B News - 2016 Issue 4 (April)
Survey: M.D.s find lack of time, patient-family conflict obstacles to ACP
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Article Overview
This article summarizes findings from a survey of physicians who regularly care for older adults and discusses common barriers to advance care planning. It is relevant to clinicians, practice leaders, and care teams interested in end-of-life discussions, documentation workflows, and EHR support for ACP. The piece focuses on survey results, practice settings, and system-level challenges rather than coding instructions.
Why This Topic Matters
Advance care planning depends not only on clinician readiness but also on workflow, family dynamics, and documentation infrastructure. Understanding these reported barriers can help healthcare organizations identify where ACP processes may be breaking down and where operational improvements may be needed.
What You Will Learn
- What barriers physicians report when discussing advance care planning with older patients.
- How time constraints and patient-family disagreement affect ACP encounters.
- What the survey suggests about EHR support for documenting advance care plans.
- Which practice and physician subgroups reported different experiences with ACP barriers.
Who Should Read This
- Physicians
- Primary care clinicians
- Geriatric care teams
- Practice managers
- Health system administrators
- Quality improvement professionals
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