Evidence-based outcomes demonstrate effectiveness of the Respecting Choices® model
For over 30 years, Respecting Choices has focused on the human touch that personalized care requires, through care team and organizational capacity training, program design and implementation support, making the organization the longstanding leader in personalized decision making, particularly for advance care planning (ACP) and serious illness care. The Respecting Choices model, in its entirety or specific components, has been tested and the findings reported either in peer-reviewed articles or in white papers.
The Impact of Advance Care Planning on End of Life Care in Elderly Patients: Randomised Controlled Trial (2010)
Detering, K. M., Hancock, A. D., Reade, M. C., & Silvester, W. (2010). The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ, 340:c1345. http://www.bmj.com/content/340/bmj.c1345.
Models of advance care planning such as Respecting Choices® have shown that a coordinated, systematic, patient-centered approach to advance care planning by trained non-medical facilitators can improve outcomes for patients. Evidence also showed that advance care planning and end of life discussions reduce stress, anxiety, and depression in surviving relatives.
A Comparative, Retrospective, Observational Study of the Prevalence, Availability, and Specificity of Advance Care Plans in a County that Implemented an Advance Care Planning Microsystem (2010)
Hammes, B., Rooney, B.L., & Gundrum, J. (2010). A comparative, retrospective, observational study of the prevalence, availability, and specificity of advance care plans in a county that implemented an advance care planning microsystem. Journal of the American Geriatrics Society, 58(7), 1249-1255. http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2010.02956.x/abstract
Retrospective comparison of medical record and death certificate data of 400 adults who died over a 7-month period in 2007/08 with those of 540 adults who died over an 11-month period in 1995/96. Data published in 2010 showed that of all adult residents of La Crosse County who died in any setting of care in the county over a seven-month period (400), 96 percent had some type of an advance care plan, 99 percent of these plans were available in the patient’s medical record and treatments were consistent with instructions 99 percent of the time.These latest results are a continuation of highly successful advance care planning program that hasbeen in place for more than 20 years.
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