A review of barriers to using psychiatric advance directives in clinical practice.
Adm Policy Ment Health
; 41(6): 753-66, 2014 Nov.
Article
en En
| MEDLINE
| ID: mdl-24248818
ABSTRACT
Despite advocacy and demand for psychiatric advance directives (PADs), uptake and implementation in clinical practice is low. We examine why PAD implementation has been difficult globally by reviewing barriers in existing evidence. The review includes 30 studies, and identified 13 barriers, clustered into system level barriers, health professional level barriers, and service user level barriers. The considerable barriers to uptake and implementation hamper PAD use. We propose several potential strategies for overcoming some of the barriers. In order to realise these strategies, additional research is needed, particularly more field-based and operational research to understand processes and difficulties experienced in clinical practice.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Directivas Anticipadas
/
Servicios de Salud Mental
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Adm Policy Ment Health
Asunto de la revista:
PSICOLOGIA
/
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Año:
2014
Tipo del documento:
Article