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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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A population-based approach to end of life care and advance care planning

A population-based approach to end of life care and advance care planning

Chapter:
(p.293) Chapter 27 A population-based approach to end of life care and advance care planning
Source:
Advance Care Planning in End of Life Care
Author(s):

Muir Gray

Rammya Matthews

Keri Thomas

Publisher:
Oxford University Press
DOI:10.1093/oso/9780198802136.003.0027

A population-based approach takes account of the needs of the people within a given population. A key aspect of this is reducing unwarranted variation and addressing both the underuse of high-value interventions and the overuse of low-value interventions. In the context of end-of-life care, high-value interventions are those that enhance quality of life. In contrast, low-value interventions are those that are futile, those that negatively impact on quality of life, and those that are not in line with the person’s wishes. Advance care planning (ACP) is a means by which a person can document their choices at the end of life; it supports person-centred care and also facilitates the redistribution of investment from low-value to high-value interventions.

Keywords:   value based healthcare, population medicine, advance care planning, health economy

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