Objectives: There is increased global focus on advance care planning (ACP) with attention from policymakers, more education programmes, laws and public awareness campaigns. Methods: We provide a summary of the evidence about what ACP is, and how it should be conducted. We also address its barriers and facilitators and discuss current and future models of ACP, including a wider look at how to best integrate those who have diminished decisional capacity. Results: Different models are analysed, including new work in Wales (future care planning which includes best interest decision-making for those without decisional capacity), Asia and in people with dementia. Conclusions: ACP practices are evolving. While ACP is a joint responsibility of patients, relatives and healthcare professionals, more clarity on how to apply best ACP practices to include people with diminished capacity will further improve patient-centred care.

Additional Metadata
Keywords clinical decisions, communication, cultural issues, end of life care, terminal care
Persistent URL dx.doi.org/10.1136/bmjspcare-2020-002304, hdl.handle.net/1765/127363
Journal BMJ Supportive and Palliative Care
Citation
Rietjens, J.A.C, Korfage, I.J, & Taubert, M. (Mark). (2020). Advance care planning: The future. BMJ Supportive and Palliative Care. doi:10.1136/bmjspcare-2020-002304