1 40 1 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource January 2019 List Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month January 2019 List URL Address <a href="http://doi.org/10.1177/1049909118760303" target="_blank" rel="noreferrer noopener"> http://doi.org/ 10.1177/1049909118760303</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Provider Tools for Advance Care Planning and Goals of Care Discussions: A Systematic Review Publisher An entity responsible for making the resource available American Journal of Hospice and Palliatice Care Date A point or period of time associated with an event in the lifecycle of the resource 2018 Subject The topic of the resource advance care planning; Age Factors; Physician-Patient Relations; Communication; Advance Care Planning/standards; Humans; Pediatrics; palliative care; decision-making; systematic review; serious illness; Practice Guidelines as Topic; Geriatrics; goals of care discussions; Patient Care Planning/standards; point-of-care clinical tools Creator An entity primarily responsible for making the resource Myers J; Cosby R; Gzik D; Harle I; Harrold D; Incardona N; Walton T Description An account of the resource BACKGROUND: Advance care planning and goals of care discussions involve the exploration of what is most important to a person, including their values and beliefs in preparation for health-care decision-making. Advance care planning conversations focus on planning for future health care, ensuring that an incapable person's wishes are known and can guide the person's substitute decision maker for future decision-making. Goals of care discussions focus on preparing for current decision-making by ensuring the person's goals guide this process. AIM: To provide evidence regarding tools and/or practices available for use by health-care providers to effectively facilitate advance care planning conversations and/or goals of care discussions. DATA SOURCES: A systematic review was conducted focusing on guidelines, randomized trials, comparative studies, and noncomparative studies. Databases searched included MEDLINE, EMBASE, and the proceedings of the International Advance Care Planning Conference and the American Society of Clinical Oncology Palliative Care Symposium. CONCLUSIONS: Although several studies report positive findings, there is a lack of consistent patient outcome evidence to support any one clinical tool for use in advance care planning or goals of care discussions. Effective advance care planning conversations at both the population and the individual level require provider education and communication skill development, standardized and accessible documentation, quality improvement initiatives, and system-wide coordination to impact the population level. There is a need for research focused on goals of care discussions, to clarify the purpose and expected outcomes of these discussions, and to clearly differentiate goals of care from advance care planning. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1177/1049909118760303" target="_blank" rel="noreferrer noopener">10.1177/1049909118760303</a> 2018 Advance Care Planning Advance Care Planning/standards Age Factors American Journal of Hospice and Palliatice Care Communication Cosby R Decision-making Geriatrics goals of care discussions Gzik D Harle I Harrold D Humans Incardona N January 2019 List Myers J Palliative Care Patient Care Planning/standards Pediatrics Physician-patient Relations point-of-care clinical tools Practice Guidelines As Topic Serious Illness Systematic Review Walton T