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- W2321824433 abstract "Background Since its inception advance care planning (ACP) has generated passionate advocates and severe critics. In 2004 a Hastings Center Report publication claimed that the living will has failed, yet we gather at the 4th international conference of ACP suggesting that the idea is thriving. How can such adverse positions coexist? Aim This paper aims to clarify ideas of success in ACP in order to make sense of the disagreements. Method Literature review and critical reflection Results ACP is promoted in pursuit of a combination of utilitarian, libertarian and/or compassionate aims and notions of ACP success vary considerably. In the empirical literature success either refers to successful programme implementation, the achievement of an ideological good for a patient or both. A historical evolution of types of success criteria is evident and ambitions as to what constitute adequate markers of success are diverse. Discussion As a complex multidisciplinary field ACP provides a fertile ground for partial successes and failures. A particular problem is that addressing shortcomings in one area can often only be achieved by reducing ambitions in others, leading to a dynamic shifting of ACP goals. Criticisms from one discipline are evaded through discipline specific research design or via different discipline specific goals and ambitions. Conclusion Whether ACP is seen as successful depends on how many and which goals ACP is meant to address at once. Although modern ACP has made many practical advances, it has done so at significant cost elsewhere and certain criticisms remain relevant." @default.
- W2321824433 created "2016-06-24" @default.
- W2321824433 creator A5026397609 @default.
- W2321824433 date "2013-06-01" @default.
- W2321824433 modified "2023-09-23" @default.
- W2321824433 title "SUCCESS IN ADVANCE CARE PLANNING: THE CHANGING GOAL POST?" @default.
- W2321824433 doi "https://doi.org/10.1136/bmjspcare-2013-000491.80" @default.
- W2321824433 hasPublicationYear "2013" @default.
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