Article type
Abstract
Background
The multidisciplinary guideline Advance care planning (ACP) was published in June 2023. There is a lot of attention for implementing the guideline, because ACP is a focus in the National Palliative Care Program.
Objectives
Encourage healthcare providers to implement ACP in their daily practice, as a result of which palliative patients receive care that meets their wishes and needs and does not go beyond their treatment limits.
Methods
Various strategies have been deployed to encourage healthcare providers to start with ACP:
Informational strategy:
•Publication on Pallialine, the platform for Dutch Palliative care guidelines
•The guideline summary can be ordered, downloaded, and consulted on the PalliArts app
•Distribution of the guideline via social media and articles for professional groups
•Presentations about the guideline at national conferences.
Support-enhancing strategy
•Discussions with various medical specialists to include ACP in their guidelines.
Facilitating strategy
•Providing a conversation card with a step-by-step plan and example sentences to provide healthcare providers with tools for ACP
•Providing a standarized form for documenting the patient's treatment limits and wishes
•Start of a pilot to incorporate this form into digital systems of health care providers to facilitate patients transfer between different healthcare settings and professionals
Market-oriented strategy
Discussions with the NZa (Dutch Healthcare Authority) about financing ACP conversations.
Patient-centered strategy
Patient-information can be found at the Dutch palliative care website overpalliatievezorg.nl, about the choice of whether or not to treat and whether or not to resuscitate.
Results
From juni (publication of the guideline) until december 2023:
•14.229 visits of the guideline on Pallialine
•4735 orders of the summary
•5125 orders of the conversation card
•535 visits of the patient information pags on whether or not to treat 1031 on and whether or not to resuscitate
•Dutch health autority (NZa) published a draft report about financing ACP
•various professional groups acknowledged the uniform for documenting on ACP planning
•the first pilot on sharing data about ACP started off
Conclusions
Various, mutually reinforcing implementation strategies support implementation of the ACP guideline in the palliative phase.
The multidisciplinary guideline Advance care planning (ACP) was published in June 2023. There is a lot of attention for implementing the guideline, because ACP is a focus in the National Palliative Care Program.
Objectives
Encourage healthcare providers to implement ACP in their daily practice, as a result of which palliative patients receive care that meets their wishes and needs and does not go beyond their treatment limits.
Methods
Various strategies have been deployed to encourage healthcare providers to start with ACP:
Informational strategy:
•Publication on Pallialine, the platform for Dutch Palliative care guidelines
•The guideline summary can be ordered, downloaded, and consulted on the PalliArts app
•Distribution of the guideline via social media and articles for professional groups
•Presentations about the guideline at national conferences.
Support-enhancing strategy
•Discussions with various medical specialists to include ACP in their guidelines.
Facilitating strategy
•Providing a conversation card with a step-by-step plan and example sentences to provide healthcare providers with tools for ACP
•Providing a standarized form for documenting the patient's treatment limits and wishes
•Start of a pilot to incorporate this form into digital systems of health care providers to facilitate patients transfer between different healthcare settings and professionals
Market-oriented strategy
Discussions with the NZa (Dutch Healthcare Authority) about financing ACP conversations.
Patient-centered strategy
Patient-information can be found at the Dutch palliative care website overpalliatievezorg.nl, about the choice of whether or not to treat and whether or not to resuscitate.
Results
From juni (publication of the guideline) until december 2023:
•14.229 visits of the guideline on Pallialine
•4735 orders of the summary
•5125 orders of the conversation card
•535 visits of the patient information pags on whether or not to treat 1031 on and whether or not to resuscitate
•Dutch health autority (NZa) published a draft report about financing ACP
•various professional groups acknowledged the uniform for documenting on ACP planning
•the first pilot on sharing data about ACP started off
Conclusions
Various, mutually reinforcing implementation strategies support implementation of the ACP guideline in the palliative phase.