Overview of the Motivation of Advance Care Planning: A Study from a Medical Center in Taiwan
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Collection
2.2. Advanced Care Planning in Taipei Veterans General Hospital
2.3. Data Processing
2.4. Statistics
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Number | Percentage (n = 946) | |
---|---|---|
Gender | ||
Male | 406 | 42.9% |
Female | 540 | 57.1% |
Age | ||
20–29 years | 17 | 1.8% |
30–39 years | 45 | 4.8% |
40–49 years | 101 | 10.7% |
50–59 years | 152 | 16.1% |
60–69 years | 235 | 24.8% |
70–79 years | 194 | 20.5% |
80 years and above | 202 | 21.4% |
Marital status | ||
Single | 121 | 12.8% |
Married | 398 | 42.1% |
Other * | 427 | 45.1% |
How many persons participate in each ACP session | ||
One person | 100 | 10.6% |
Two persons | 226 | 23.9% |
Three persons and above | 620 | 65.5% |
Accompanying relatives | ||
Came alone | 99 | 10.5% |
First or second degree relatives | 702 | 74.2% |
Relatives other than first or second degree | 8 | 0.8% |
Friends | 137 | 14.5% |
Cost | ||
Free+ | 468 | 49.5% |
NT$3000 | 23 | 2.4% |
NT$1500 | 104 | 11.0% |
NT$1000 | 351 | 37.1% |
Whether an AD was completed on the spot | ||
Completed on the spot | 596 | 63.0% |
Not completed on the spot | 341 | 36.0% |
Not written # | 9 | 1.0% |
Time of AD completion | ||
Completed within 90 days | 854 | 90.2% |
Completed after 90 days | 37 | 3.9% |
Not completed # | 55 | 5.8% |
Designation of an HCA | ||
Yes | 35 | 3.7% |
No | 911 | 96.3% |
Suffering from a Disease | Having a Family Member Who Is Suffering from a Disease | Being Single | Reluctant to Let Family Members Take on the Responsibility of Making Decisions | Looking Forward to Dying with Dignity | Making End-Of-Life Pre-Arrangements | Fear of Being a Social and Economic Burden to Family Members | Media Reports and Dissemination | Other | p-Value $ | |
---|---|---|---|---|---|---|---|---|---|---|
Gender | ||||||||||
Male (%, n = 1206) | 40 (3.3) | 31 (2.6) | 79 (6.6) | 211 (17.5) | 302 (25) | 269 (22.3) | 215 (17.8) | 55 (4.6) | 4 (0.3) | <0.001 |
Female (%, n = 1712) | 57 (3.3) | 69 (4.0) | 115 (0.9) | 345 (20.2) | 427 (24.9) | 414 (24.2) | 327 (19.1) | 51 (3.0) | 7 (0.4) | |
Age | ||||||||||
20-59 years (%, n = 1041) | 25 (2.4) | 37 (3.6) | 73 (7.0) | 200 (19.2) | 239 (23.0) | 250 (24.6%) | 175 (16.8) | 33 (3.2) | 9 (0.9) | 0.012 |
≥60 years (%, n = 1977) | 72 (3.6) | 63 (3.2) | 121 (6.1) | 356 (18.0) | 490 (24.8) | 433 (21.9) | 367 (18.6) | 73 (3.7) | 2 (0.1) | |
Marital Status | ||||||||||
Single (%, n = 429) | 13 (3.0) | 17 (3.0) | 87 (20.3) | 64 (14.9) | 87 (20.3) | 90 (21.0) | 58 (13.5) | 13 (3.0) | 0 (0) | <0.001 |
Married (%, n = 1358) | 46 (3.4) | 41 (3.0) | 53 (3.9) | 276 (20.3) | 319 (23.5) | 280 (20.6) | 283 (20.8) | 59 (4.3) | 1 (0.1) | |
Other + (%, n = 1231) | 38 (3.1) | 42 (3.4) | 54 (4.4) | 216 (17.5) | 323 (26.2) | 313 (25.4) | 201 (16.3) | 34 (2.8) | 10 (0.8) | |
Designation of an HCA | ||||||||||
Yes (%, n = 105) | 6 (5.7) | 2 (1.9) | 6 (5.7) | 16 (15.2) | 26 (24.8) | 28 (26.7) | 15 (14.3) | 3 (2.9) | 3 (2.9) | 0.003 |
No (%, n = 2893) | 91 (3.1) | 98 (3.4) | 188 (6.5) | 540 (18.7) | 703 (24.3) | 655 (22.6) | 527 (18.2) | 83 (2.9) | 8 (0.3) |
Yes | No | p-Value | |
---|---|---|---|
Gender | |||
Male (%, n = 406) | 11 (2.7) | 395 (97.3) | 0.162 |
Female (%, n = 540) | 24 (4.4) | 516 (95.6) | |
Age | |||
20–59 years (%, n = 315) | 19 (6.0) | 296 (94.0) | 0.007 |
60 years and above (%, n = 631) | 16 (2.5) | 615 (97.5) | |
Marital status | |||
Single (%, n = 121) | 9 (7.4) | 112 (92.6) | 0.042 |
Married (%, n = 398) | 10 (2.5) | 388 (97.5) | |
Other * (%, n = 427) | 16 (3.7) | 411 (96.3) |
<90 min | >90 min | p-Value | |
---|---|---|---|
Gender | |||
Male (%, n = 406) | 393 (96.8) | 13 (3.2) | 0.004 |
Female (%, n = 540) | 499 (92.4) | 41 (7.6) | |
Age | |||
20–59 years (%, n = 315) | 290 (92.1) | 25 (7.9) | 0.037 |
60 years and above (%, n = 631) | 602 (95.4) | 29 (4.6) | |
Designation of an HCA | |||
Yes (%, n = 35) | 28 (80.0) | 7 (20.0) | 0.001 |
No (%, n = 908) | 861 (94.8) | 47 (5.2) | |
Cost | |||
Free (%, n = 468) | 458 (97.9) | 10 (2.1) | <0.001 |
NT$3000 (%, n = 23) | 23 (100.0) | 0 (0) | |
NT$1500 (%, n = 104) | 100 (96.2) | 4 (3.8) | |
NT$1000 (%, n = 351) | 311 (88.6) | 40 (11.4) |
Free | NT$3000 | NT$1500 | NT$1000 | p-Value | |
---|---|---|---|---|---|
Gender | |||||
Male (%, n = 406) | 259 (63.8) | 4 (1.0) | 34 (8.4) | 109 (26.8) | <0.001 |
Female (%, n = 540) | 209 (38.7) | 19 (3.5) | 70 (13.0) | 242 (44.8) | |
Age | |||||
20–59 years (%, n = 315) | 89 (28.2) | 8 (2.5) | 38 (12.1) | 180 (57.1) | <0.001 |
60 years and above (%, n = 631) | 379 (60.1) | 15 (2.4) | 66 (10.5) | 171 (27.1) | |
Marital status | |||||
Single (%, n = 121) | 43 (35.5) | 9 (7.4) | 15 (12.4) | 54 (44.6) | <0.001 |
Married (%, n = 398) | 198 (49.7) | 4 (1.0) | 54 (13.6) | 142 (35.7) | |
Other * (%, n = 427) | 227 (53.2) | 10 (2.3) | 35 (8.2) | 155 (36.3) |
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He, Y.-J.; Lin, M.-H.; Hsu, J.-L.; Cheng, B.-R.; Chen, T.-J.; Hwang, S.-J. Overview of the Motivation of Advance Care Planning: A Study from a Medical Center in Taiwan. Int. J. Environ. Res. Public Health 2021, 18, 417. https://doi.org/10.3390/ijerph18020417
He Y-J, Lin M-H, Hsu J-L, Cheng B-R, Chen T-J, Hwang S-J. Overview of the Motivation of Advance Care Planning: A Study from a Medical Center in Taiwan. International Journal of Environmental Research and Public Health. 2021; 18(2):417. https://doi.org/10.3390/ijerph18020417
Chicago/Turabian StyleHe, Yi-Jhen, Ming-Hwai Lin, Jo-Lan Hsu, Bo-Ren Cheng, Tzeng-Ji Chen, and Shinn-Jang Hwang. 2021. "Overview of the Motivation of Advance Care Planning: A Study from a Medical Center in Taiwan" International Journal of Environmental Research and Public Health 18, no. 2: 417. https://doi.org/10.3390/ijerph18020417