病人自主與預立醫療照護計畫: 英國經驗

Translated title of the contribution: Patient Autonomy and Advance Care Planning: The United Kingdom Experiences

Cheng-Pei Lin, Jen Kuei Peng*

*Corresponding author for this work

Research output: Contribution to journalEditorial

Abstract

Taiwan adopted the ''Patient Right to Autonomy Act'' on January 6th, 2016, where is the first in Asia to employ legislation to honour an individual's medical autonomy. Through applying advance care planning (ACP), an early end-of-life care discussion among an individual and his/her family members could be initiated in order to achieve concordance with preferred care provision. Such discussions respect the patient's medical autonomy, ensure their good death and improve the clinician-patient relationship. However, the relevant experiences in Taiwan is sparse. The authors shared their experiences on ACP in the United Kingdom while studying abroad. The UK developed ACP based on the Mental Capacity Act 2005 for almost 15 years, aiming to provide a person-centred end-of-life care which is aligned with an individual's wishes and preferences. The nationwide policy and educational resources support and the collaboration with charities and clinicians in all settings successfully promote the concept of ACP and increase the usage of palliative care, which potentially improve the patients and families end-of-life care experiences. Flexible recording documentations and ACP facilitators are their advantages, however, the inefficient information hand-over through different care settings and the lack of an information sharing platform could potentially compromise the care quality, which is challenging to concordance with preferred end-of-life care provision. The UK experiences of honouring an individual's medical autonomy and assisting a person with impaired mental capacity to maximise their ability for decision-making are worth learnings to inform future Taiwanese ACP development.
Translated title of the contributionPatient Autonomy and Advance Care Planning: The United Kingdom Experiences
Original languageChinese (Traditional)
Pages (from-to)169-176
Number of pages8
JournalThe Journal of Long-Term Care
Volume23
Issue number2
DOIs
StatePublished - Dec 2019

Keywords

  • patient autonomy
  • advance care planning
  • end-of-life care
  • mental capacity
  • the United Kingdom experiences

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