{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:13:31Z","timestamp":1785536011808,"version":"3.56.0"},"reference-count":50,"publisher":"SAGE Publications","issue":"7-8","license":[{"start":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T00:00:00Z","timestamp":1563148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>Objectives: As the homeless population ages, it is imperative to improve access to advance care planning (ACP) and document preferences in case medical decision-making capacity is lost. Methods: We implemented an ACP Project to discuss and document advance care plans with all patients aged 45 and older who received primary care at our adult Homeless Program clinics. Results: Over 14 months, ACP was discussed with 48% ( n = 138) of the population and health care proxy (HCP) appointment with 91% ( n = 125) of these patients. Most (62%; n = 77) appointed a HCP from personal relationships, though a significant minority (38%; n = 48) could not and were considered \u201csurrogateless.\u201d End-of-life preferences varied. Approximately 20% of patients wanted to defer to a surrogate for each decision. Discussion: ACP is feasible in primary care for adults who have experienced homelessness and should be incorporated into routine care.<\/jats:p>","DOI":"10.1177\/0898264319862420","type":"journal-article","created":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T03:00:31Z","timestamp":1563159631000},"page":"880-891","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Feasibility of Advance Care Planning in Primary Care for Homeless Adults"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5074-8672","authenticated-orcid":false,"given":"Laura","family":"Kaplan-Weisman","sequence":"first","affiliation":[{"name":"The Institute for Family Health, New York, NY, USA"},{"name":"Icahn School of Medicine at Mount Sinai, New York, NY, USA"},{"name":"Care for the Homeless, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Sansone","sequence":"additional","affiliation":[{"name":"The Institute for Family Health, New York, NY, USA"},{"name":"Hunter College, New York, NY, USA"},{"name":"City University of New York School Graduate School of Public Health and Health Policy, New York City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve","family":"Walter","sequence":"additional","affiliation":[{"name":"The Institute for Family Health, New York, NY, USA"},{"name":"Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey","family":"Crump","sequence":"additional","affiliation":[{"name":"The Institute for Family Health, New York, NY, USA"},{"name":"Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,7,15]]},"reference":[{"key":"bibr1-0898264319862420","unstructured":"Aitken P. 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Retrieved from https:\/\/www.csh.org\/resources\/ending-homelessness-among-older-adults-and-seniors-through-supportive-housing\/"},{"key":"bibr9-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1111\/asap.12004"},{"key":"bibr10-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2014.07.035"},{"key":"bibr11-0898264319862420","unstructured":"Eller P., Tommasulo P. (2011). Advance directive registries: A policy opportunity. Center for Healthcare Research & Transformation. Retrieved from https:\/\/www.chrt.org\/document\/advance-directive-registries-a-policy-opportunity"},{"key":"bibr12-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14586"},{"key":"bibr13-0898264319862420","unstructured":"Gorman A. (2016, December 7). California Tests Electronic Database For End-Of-Life Wishes. Kaiser Health News. 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Retrieved from http:\/\/www.medicaleconomics.com\/modern-medicine-feature-articles\/hospitalists-pcps-bad-communication-and-its-hurting-patient-care"},{"key":"bibr22-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12009"},{"key":"bibr23-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315575679"},{"key":"bibr24-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-016-0105-2"},{"key":"bibr25-0898264319862420","volume-title":"Resolving ethical dilemmas: A guide for clinicians","author":"Lo","year":"2000","edition":"2"},{"key":"bibr26-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500388"},{"key":"bibr27-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyp160"},{"key":"bibr28-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03530060052033"},{"key":"bibr29-0898264319862420","doi-asserted-by":"publisher","DOI":"10.1007\/s10730-016-9317-9"},{"key":"bibr30-0898264319862420","unstructured":"Nagourney A. 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