Journal article

Introducing Goals of Patient Care in Residential Aged Care Facilities to Decrease Hospitalization: A Cluster Randomized Controlled Trial

Ruth S Martin, Barbara J Hayes, Anastasia Hutchinson, Mark Tacey, Paul Yates, Wen Kwang Lim

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | ELSEVIER SCIENCE INC | Published : 2019

Abstract

OBJECTIVES: The "Goals of Patient Care" (GOPC) process uses shared decision making to incorporate residents' prior advance care planning (ACP) or preferences into medical treatment orders, guiding health care decisions at a time of clinical deterioration should they be unable to voice their opinions. The objective was to determine whether GOPC medical treatment orders were more effective than ACP alone in preventing emergency department (ED) visits (no hospitalization), ED visits (with hospitalization), and deaths outside the residential aged care facility (RACF). DESIGN: The study was a prospective cluster randomized controlled trial, with the intervention being the completion of GOPC proce..

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Grants

Funding Acknowledgements

The authors acknowledge Northern Health Foundation for a Small Research Grant for the study, and the Northern Health Aged Care Research Department and the University of Melbourne for research scholarships for the principal researcher. There were no study sponsors further to these grants. The researchers are independent from the funders.