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Advance Care Planning in End of Life Care$
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Keri Thomas, Ben Lobo, and Karen Detering

Print publication date: 2017

Print ISBN-13: 9780198802136

Published to Oxford Scholarship Online: January 2018

DOI: 10.1093/oso/9780198802136.001.0001

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Advance directives and advance care planning

Advance directives and advance care planning

the US experience

Chapter:
(p.217) Chapter 20 Advance directives and advance care planning
Source:
Advance Care Planning in End of Life Care
Author(s):

Maria J. Silveira

Phillip Rodgers

Publisher:
Oxford University Press
DOI:10.1093/oso/9780198802136.003.0020

This chapter discusses the history of advance directives (ADs) and Advance Care Planning (ACP) in the United States of America, the evidence base regarding the application of ADs and ACP in American healthcare, and the use of technology to facilitate ACP and AD in the US. Improvements in public health and biomedical technology during the latter half of the twentieth century substantially extended life expectancy in the US from 47 in 1900 to 79 by 2014. This accomplishment paired with the aging of America’s largest generation (know fondly as the ‘baby boomers’), is largely responsible for an exponential increase in expenditures related to healthcare over the last 20 years.

Keywords:   surrogate decision making, advance care planning, United States, advance directives, end of life

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