Advance care planning (ACP) is a stepwise process that addresses patient preferences for advance directives, durable power of attorney, and end-of-life care. These discussions often lead to higher-quality, goal-concordant care for patients.1 Yet, ACP rarely occurs in the ambulatory care setting.2 Moreover, current approaches to ACP often fail to engage patients and their families or are not well integrated into clinician workflow.3
Guduguntla V, Wang T, Grady D. Advance Care Planning and the Cost of Pragmatism. JAMA Intern Med. 2021;181(3):309–310. doi:10.1001/jamainternmed.2020.5935
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