{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T05:30:19Z","timestamp":1787290219160,"version":"build-2736575974"},"reference-count":117,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Prim. Care"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Advance care planning is a key aspect of palliative care and aims to establish patient preferences for future care, benefiting patients and their families. Palliative care, including advance care planning, is often provided by primary care physicians. Levels of advance care planning, however, remain low internationally. We aimed to conduct a systematic literature review to understand the barriers and facilitators encountered by patients when considering advance care planning conversations within the primary care setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five electronic databases (Ovid MEDLINE, PubMed, PsycINFO, CINAHL and Scopus) and grey literature were searched in April 2025. Quantitative and qualitative data were extracted and synthesised using a convergent, integrated approach. The Mixed Methods Appraisal Tool was used to assess study quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2495 articles, 48 studies were included. Barriers and facilitators can each be categorized into three themes, with further subthemes: 1) Professional factors, which encompassed the relationship between patient and healthcare professional, the skills and attributes of the healthcare professional, and the specific role of the healthcare professional in the advance care planning process; 2) Patient factors, including perceptions of self, family role, personal and religious views of advance care planning, and personal characteristics; 3) Features of the advance care planning conversation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To enhance advance care planning uptake, there should be protection of relationships between healthcare professional and patient, adequate time for face-to-face conversations, and relevant training for healthcare professionals. More widely, increasing public awareness of these topics is vital. It is essential to balance standardisation to encourage and support these conversations, whilst maintaining an individualised approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12875-025-03028-0","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:17:57Z","timestamp":1761898677000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Patient perceptions of advance care planning within primary care: a systematic review of facilitators and barriers"],"prefix":"10.1186","volume":"26","author":[{"given":"Elizabeth","family":"Abbey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy","family":"Sunderland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona R.","family":"Mayland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"3028_CR1","unstructured":"Department of Health. Long Term Conditions Compendium of Information: Third Edition. 2012. http:\/\/webarchive.nationalarchives.gov.uk\/20130107105354\/http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_4100717%5Cnhttp:\/\/webarchive.nationalarchives.gov.uk\/20130107105354\/http:\/\/www.dh.gov.uk\/en\/Publicatio. Accessed 1 Oct 2024."},{"issue":"1","key":"3028_CR2","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1186\/s12916-017-0860-2","volume":"15","author":"SN Etkind","year":"2017","unstructured":"Etkind SN, Bone AE, Gomes B, et al. How many people will need palliative care in 2040? Past trends, future projections and implications for services. BMC Med. 2017;15(1):102. https:\/\/doi.org\/10.1186\/s12916-017-0860-2.","journal-title":"BMC Med"},{"key":"3028_CR3","unstructured":"Population estimates for the UK, England. Wales, Scotland, and Northern Ireland - Office for National Statistics. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/populationandmigration\/populationestimates\/bulletins\/annualmidyearpopulationestimates\/mid2022. Accessed 1 Oct 2024."},{"key":"3028_CR4","unstructured":"World Health Organisation. Palliative care. 2020. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care. Accessed 1 Oct 2024."},{"issue":"9","key":"3028_CR5","doi-asserted-by":"publisher","first-page":"e543","DOI":"10.1016\/S1470-2045(17)30582-X\/ATTACHMENT\/5BC5275F-E89E-4D9E-9E57-6929B5A6BF22\/MMC1.PDF","volume":"18","author":"JAC Rietjens","year":"2017","unstructured":"Rietjens JAC, Sudore RL, Connolly M, et al. Definition and recommendations for advance care planning: an international consensus supported by the European association for palliative care. Lancet Oncol. 2017;18(9):e543\u201351. https:\/\/doi.org\/10.1016\/S1470-2045(17)30582-X\/ATTACHMENT\/5BC5275F-E89E-4D9E-9E57-6929B5A6BF22\/MMC1.PDF.","journal-title":"Lancet Oncol"},{"issue":"7751","key":"3028_CR6","doi-asserted-by":"publisher","first-page":"847","DOI":"10.1136\/BMJ.C1345","volume":"340","author":"KM Detering","year":"2010","unstructured":"Detering KM, Hancock AD, Reade MC, Silvester W. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ. 2010;340(7751):847. https:\/\/doi.org\/10.1136\/BMJ.C1345.","journal-title":"BMJ"},{"key":"3028_CR7","doi-asserted-by":"publisher","unstructured":"Brinkman-Stoppelenburg A, Rietjens JAC, Van Der Heide A. The effects of advance care planning on end-of-life care: A systematic review. 2014;28(8):1000\u201325. http:\/\/dx.doi.org\/101177\/0269216314526272. https:\/\/doi.org\/10.1177\/0269216314526272.","DOI":"10.1177\/0269216314526272"},{"key":"3028_CR8","unstructured":"Royal College of General Practitioners. Position statement on palliative and end of life care. https:\/\/www.rcgp.org.uk\/representing-you\/policy-areas\/palliative-end-life-care. 26 Accessed Sep 2024."},{"key":"3028_CR9","unstructured":"NHS England \u00bb Primary care services. https:\/\/www.england.nhs.uk\/get-involved\/get-involved\/how\/primarycare\/. Accessed 15 June 2025."},{"key":"3028_CR10","unstructured":"Royal College of General Practitioners, About RCGP. 2023. Accessed June 29, 2025. https:\/\/www.rcgp.org.uk\/about"},{"key":"3028_CR11","unstructured":"Role Definition of Family Medicine | AAFP. https:\/\/www.aafp.org\/about\/policies\/all\/role-definition.html. Accessed 29 June 2025."},{"issue":"1","key":"3028_CR12","doi-asserted-by":"publisher","first-page":"3191","DOI":"10.1136\/FMCH-2024-003191","volume":"13","author":"T Higuchi","year":"2025","unstructured":"Higuchi T, Nakamura M, Ojima T, Inoue M. Scope of practice of Japanese primary care physicians and its associated factors: a cross-sectional study. Fam Med Community Health. 2025;13(1):3191. https:\/\/doi.org\/10.1136\/FMCH-2024-003191.","journal-title":"Fam Med Community Health"},{"key":"3028_CR13","doi-asserted-by":"crossref","unstructured":"Ramanayake R, Dilanka G, Premasiri L. Palliative care; role of family physicians. J Family Med Prim Care. 2016;5(2):234\u2013237. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5084539\/. Accessed 5 July 2023.","DOI":"10.4103\/2249-4863.192356"},{"issue":"4","key":"3028_CR14","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1177\/0269216317748862","volume":"32","author":"E Green","year":"2018","unstructured":"Green E, Knight S, Gott M, Barclay S, White P. Patients\u2019 and carers\u2019 perspectives of palliative care in general practice: A systematic review with narrative synthesis. Palliat Med. 2018;32(4):838\u201350. https:\/\/doi.org\/10.1177\/0269216317748862.","journal-title":"Palliat Med"},{"key":"3028_CR15","unstructured":"World Health Organisation. Why palliative care is an essential function of primary health care. Published online 2018. https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/328101\/WHO-HIS-SDS-2018.39-eng.pdf. Accessed 1 Oct 2024."},{"issue":"1","key":"3028_CR16","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1136\/BMJSPCARE-2013-000473","volume":"5","author":"AA Teixeira","year":"2013","unstructured":"Teixeira AA, Hanvey L, Tayler C, Barwich D, Baxter S, Heyland DK. What do Canadians think of advanced care planning? Findings from an online opinion poll. BMJ Support Palliat Care. 2013;5(1):40. https:\/\/doi.org\/10.1136\/BMJSPCARE-2013-000473.","journal-title":"BMJ Support Palliat Care"},{"key":"3028_CR17","doi-asserted-by":"publisher","first-page":"100235","DOI":"10.1016\/J.ECLINM.2019.12.005","volume":"19","author":"T Knight","year":"2020","unstructured":"Knight T, Malyon A, Fritz Z, et al. Advance care planning in patients referred to hospital for acute medical care: results of a National day of care survey. EClinicalMedicine. 2020;19:100235. https:\/\/doi.org\/10.1016\/J.ECLINM.2019.12.005.","journal-title":"EClinicalMedicine"},{"key":"3028_CR18","doi-asserted-by":"publisher","first-page":"30275","DOI":"10.1136\/bmjopen-2019-030275","volume":"9","author":"J Risk","year":"2019","unstructured":"Risk J, Mohammadi L, Rhee J, Walters L, Ward PR. Open access barriers, enablers and initiatives for uptake of advance care planning in general practice: a systematic review and critical interpretive synthesis. BMJ Open. 2019;9:30275. https:\/\/doi.org\/10.1136\/bmjopen-2019-030275.","journal-title":"BMJ Open"},{"key":"3028_CR19","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2018-001549","author":"C Johnson","year":"2018","unstructured":"Johnson C, Rhee PM. General practice palliative care: patient and carer expectations, advance general practice palliative care: patient and carer expectations, advance care plans and place of death-a systematic review care plans and place of death-a systematic review. BMJ Support Published Online. 2018. https:\/\/doi.org\/10.1136\/bmjspcare-2018-001549.","journal-title":"BMJ Support Published Online"},{"key":"3028_CR20","doi-asserted-by":"publisher","unstructured":"Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z. JBI manual for evidence synthesis. JBI. 2024. https:\/\/doi.org\/10.46658\/JBIMES-24-01.","DOI":"10.46658\/JBIMES-24-01"},{"key":"3028_CR21","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ.B2700","author":"A Liberati","year":"2009","unstructured":"Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009. https:\/\/doi.org\/10.1136\/BMJ.B2700.","journal-title":"BMJ"},{"key":"3028_CR22","doi-asserted-by":"publisher","unstructured":"Carr D, Luth EA. Advance care planning: contemporary issues and future directions. Innov Aging. 2017;1(1). https:\/\/doi.org\/10.1093\/GERONI\/IGX012.","DOI":"10.1093\/GERONI\/IGX012"},{"issue":"2","key":"3028_CR23","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1111\/J.1468-0009.2010.00596.X","volume":"88","author":"CP Sabatino","year":"2010","unstructured":"Sabatino CP. The evolution of health care advance planning law and policy. Milbank Q. 2010;88(2):211. https:\/\/doi.org\/10.1111\/J.1468-0009.2010.00596.X.","journal-title":"Milbank Q"},{"key":"3028_CR24","unstructured":"General Medical Council. Treatment and care towards the end of life - professional standards. 2022. https:\/\/www.gmc-uk.org\/ethical-guidance\/ethical-guidance-for-doctors\/treatment-and-care-towards-the-end-of-life. Accessed 1 Oct 2024."},{"key":"3028_CR25","unstructured":"Department of Health and Social Care. End of Life Care Strategy: Promoting High Quality Care for Adults at the End of Their Life. 2008. https:\/\/www.gov.uk\/government\/publications\/end-of-life-care-strategy-promoting-high-quality-care-for-adults-at-the-end-of-their-life. Accessed 1 Oct 2024."},{"key":"3028_CR26","unstructured":"National Institute of Health and Clinical Excellence. End of life care for infants, children and young people with life-limiting conditions: planning and management. 2019. https:\/\/www.nice.org.uk\/guidance\/ng61. Accessed 1 Oct 2024."},{"key":"3028_CR27","unstructured":"Together for Short Lives. Advance care planning for children and young people who need palliative care: our position on the new universal principles in England. 2022. https:\/\/www.togetherforshortlives.org.uk\/advance-care-planning-for-children-and-young-people-who-need-palliative-care-our-position-on-the-new-universal-principles-in-england\/. Accessed 10 Sep 2023."},{"key":"3028_CR28","unstructured":"Ottawa. Canada\u2019s Drug Agency. Grey Matters: A Practical Tool for Searching Health-related Grey Literature. 2024. https:\/\/greymatters.cda-amc.ca. Accessed 29 June 2025."},{"key":"3028_CR29","unstructured":"EThOS: e-theses online service. https:\/\/libguides.ials.sas.ac.uk\/az\/ethos-electronic-theses-online-system. Accessed 29 June 2025."},{"key":"3028_CR30","unstructured":"British Library Interim Catalogue. https:\/\/bll01.primo.exlibrisgroup.com\/discovery\/search?vid=44BL_INST:BLL01\u27e8=en. Accessed 29 June 2025."},{"key":"3028_CR31","unstructured":"OPENGREY - Grey Literature Database. https:\/\/opengrey.eu\/. Accessed 29 June 2025."},{"key":"3028_CR32","unstructured":"ProQuest. https:\/\/www.proquest.com\/. Accessed 29 June 2025."},{"key":"3028_CR33","unstructured":"Social, Policy, Practice. http:\/\/www.spandp.net\/. Accessed 29 2025."},{"key":"3028_CR34","unstructured":"Nha HONGQ, Pluye P, F\u00e0bregues S et al. Mixed Methods Appraisal Tool (MMAT) Version 2018 User guide. http:\/\/mixedmethodsappraisaltoolpublic.pbworks.com\/. Accessed 1 Oct 2024."},{"key":"3028_CR35","doi-asserted-by":"publisher","unstructured":"Lizarondo L, Stern C, Carrier J et al. Chapter 8: Mixed Methods Systematic Reviews. (Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, eds.). JBI. 2024. https:\/\/doi.org\/10.46658\/JBIMES-24-07.","DOI":"10.46658\/JBIMES-24-07"},{"key":"3028_CR36","doi-asserted-by":"publisher","DOI":"10.1177\/21501319221137251","author":"KM Smith","year":"2022","unstructured":"Smith KM, Scerpella D, Guo A, et al. Perceived barriers and facilitators of implementing a multicomponent intervention to improve communication with older adults with and without dementia (SHARING choices) in primary care: a qualitative study. J Prim Care Community Health. 2022. https:\/\/doi.org\/10.1177\/21501319221137251.","journal-title":"J Prim Care Community Health"},{"issue":"7","key":"3028_CR37","doi-asserted-by":"publisher","first-page":"314","DOI":"10.37765\/AJMC.2022.89178","volume":"28","author":"S McLarty","year":"2022","unstructured":"McLarty S, Johnson KA, Ann Francis E, et al. Provider and patient insights into the cancer care journey. Am J Manag Care. 2022;28(7):314\u201320. https:\/\/doi.org\/10.37765\/AJMC.2022.89178.","journal-title":"Am J Manag Care"},{"issue":"6","key":"3028_CR38","doi-asserted-by":"publisher","first-page":"940","DOI":"10.1089\/JPM.2021.0420","volume":"25","author":"L Xu","year":"2022","unstructured":"Xu L, Sommer RK, Nyeko L, Michael C, Traeger L, Jacobsen J. Patient perspectives on serious illness conversations in primary care. J Palliat Med. 2022;25(6):940\u20134. https:\/\/doi.org\/10.1089\/JPM.2021.0420.","journal-title":"J Palliat Med"},{"issue":"2","key":"3028_CR39","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1016\/J.JPAINSYMMAN.2019.04.032","volume":"58","author":"N Abu Al Hamayel","year":"2019","unstructured":"Abu Al Hamayel N, Isenberg SR, Sixon J, et al. Preparing older patients with serious illness for advance care planning discussions in primary care. J Pain Symptom Manage. 2019;58(2):244\u2013e2511. https:\/\/doi.org\/10.1016\/J.JPAINSYMMAN.2019.04.032.","journal-title":"J Pain Symptom Manage"},{"issue":"4","key":"3028_CR40","doi-asserted-by":"publisher","first-page":"480","DOI":"10.3122\/JABFM.2017.04.170036","volume":"30","author":"HD Lum","year":"2017","unstructured":"Lum HD, Sudore RL, Matlock DD, et al. A group visit initiative improves advance care planning documentation among older adults in primary care. J Am Board Fam Med. 2017;30(4):480\u201390. https:\/\/doi.org\/10.3122\/JABFM.2017.04.170036.","journal-title":"J Am Board Fam Med"},{"issue":"6","key":"3028_CR41","doi-asserted-by":"publisher","first-page":"1484","DOI":"10.1007\/S11606-021-07208-3","volume":"37","author":"AJ Reich","year":"2022","unstructured":"Reich AJ, Perez S, Gazarian P, et al. Is this ACP? A focus group study of patient experiences of advance care planning. J Gen Intern Med. 2022;37(6):1484\u201393. https:\/\/doi.org\/10.1007\/S11606-021-07208-3.","journal-title":"J Gen Intern Med"},{"issue":"6","key":"3028_CR42","doi-asserted-by":"publisher","first-page":"1903","DOI":"10.1007\/S11606-019-05367-Y","volume":"35","author":"LW Suen","year":"2020","unstructured":"Suen LW, Leyde S, Min K, Volow A, Rabow M, Sudore RL. Thinking outside the visit: primary care patient perspectives on helpful advance care planning methods. J Gen Intern Med. 2020;35(6):1903\u20135. https:\/\/doi.org\/10.1007\/S11606-019-05367-Y.","journal-title":"J Gen Intern Med"},{"issue":"12","key":"3028_CR43","doi-asserted-by":"publisher","first-page":"3833","DOI":"10.1111\/JGS.19127","volume":"72","author":"CM Ferguson","year":"2024","unstructured":"Ferguson CM, Gilissen J, Scheerens C, et al. Action plans increase advance care planning documentation and engagement among English and Spanish-speaking older adults. J Am Geriatr Soc. 2024;72(12):3833\u20139. https:\/\/doi.org\/10.1111\/JGS.19127.","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"3028_CR44","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PONE.0301426","volume":"19","author":"S Izumi","year":"2024","unstructured":"Izumi S, Garcia E, Kualaau A, et al. Advance care planning as perceived by marginalized populations: willing to engage and facing obstacles. PLoS ONE. 2024;19(4):e0301426. https:\/\/doi.org\/10.1371\/JOURNAL.PONE.0301426.","journal-title":"PLoS ONE"},{"issue":"2","key":"3028_CR45","doi-asserted-by":"publisher","first-page":"215","DOI":"10.3122\/JABFM.2023.230187R2","volume":"37","author":"CK Tietbohl","year":"2024","unstructured":"Tietbohl CK, Ritger C, Jordan S, Shanbhag P, Sudore RL, Lum HD. A mixed-methods comparison of interventions to increase advance care planning. J Am Board Fam Med. 2024;37(2):215\u201327. https:\/\/doi.org\/10.3122\/JABFM.2023.230187R2.","journal-title":"J Am Board Fam Med"},{"issue":"2","key":"3028_CR46","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1177\/10499091231173413","volume":"41","author":"H Caplan","year":"2024","unstructured":"Caplan H, Santos J, Bershad M, Spritzer K, Liantonio J. Assessment of feelings towards advanced care planning in the Latino community. Am J Hosp Palliat Med. 2024;41(2):187\u201392. https:\/\/doi.org\/10.1177\/10499091231173413.","journal-title":"Am J Hosp Palliat Med"},{"issue":"730","key":"3028_CR47","doi-asserted-by":"publisher","first-page":"E384","DOI":"10.3399\/BJGP.2022.0100","volume":"73","author":"J Stevens","year":"2023","unstructured":"Stevens J, Deliens L, Miranda R, De Vleminck A, Pardon K. Advance care planning engagement in patients with chronic, life-limiting illness: baseline findings from a cluster-randomised controlled trial in primary care. Br J Gen Pract. 2023;73(730):E384\u201391. https:\/\/doi.org\/10.3399\/BJGP.2022.0100.","journal-title":"Br J Gen Pract"},{"key":"3028_CR48","doi-asserted-by":"publisher","DOI":"10.1016\/J.PEC.2022.11.005","author":"A De Vleminck","year":"2023","unstructured":"De Vleminck A, Craenen L, Stevens J, et al. Emotional cues and concerns of patients with a life limiting, chronic illness during advance care planning conversations in general practice. Patient Educ Couns. 2023. https:\/\/doi.org\/10.1016\/J.PEC.2022.11.005.","journal-title":"Patient Educ Couns"},{"issue":"1","key":"3028_CR49","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12910-018-0305-2\/TABLES\/2","volume":"19","author":"G Scholten","year":"2018","unstructured":"Scholten G, Bourguignon S, Delanote A, Vermeulen B, Van Boxem G, Schoenmakers B. Advance directive: does the GP know and address what the patient wants? Advance directive in primary care. BMC Med Ethics. 2018;19(1):1\u20137. https:\/\/doi.org\/10.1186\/S12910-018-0305-2\/TABLES\/2.","journal-title":"BMC Med Ethics"},{"issue":"4","key":"3028_CR50","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1093\/FAMPRA\/CMX125","volume":"35","author":"A De Vleminck","year":"2018","unstructured":"De Vleminck A, Batteauw D, Demeyere T, Pype P. Do non-terminally ill adults want to discuss the end of life with their family physician? An explorative mixed-method study on patients\u2019 preferences and family physicians\u2019 views in Belgium. Fam Pract. 2018;35(4):495\u2013502. https:\/\/doi.org\/10.1093\/FAMPRA\/CMX125.","journal-title":"Fam Pract"},{"issue":"1","key":"3028_CR51","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2023.2271661","volume":"29","author":"H Demirkapu","year":"2023","unstructured":"Demirkapu H, Van den Block L, De Maesschalck S, De Vleminck A, Colak FZ, Devroey D. Advance care planning among older adults in Belgium with Turkish backgrounds and palliative care needs: a qualitative interview study. Eur J Gen Pract. 2023;29(1):2271661. https:\/\/doi.org\/10.1080\/13814788.2023.2271661.","journal-title":"Eur J Gen Pract"},{"key":"3028_CR52","doi-asserted-by":"publisher","DOI":"10.1016\/J.PEC.2023.107794","volume":"113","author":"H Demirkapu","year":"2023","unstructured":"Demirkapu H, Hajji R, Chater B, et al. Advance care planning among older adults of Moroccan origin: an interview-based study. Patient Educ Couns. 2023;113:107794. https:\/\/doi.org\/10.1016\/J.PEC.2023.107794.","journal-title":"Patient Educ Couns"},{"issue":"1","key":"3028_CR53","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1186\/S12875-024-02510-5","volume":"25","author":"J Stevens","year":"2024","unstructured":"Stevens J, Scherrens AL, Pype P, Deliens L, De Vleminck A, Pardon K. Experiences with implementing advance care planning (ACP-GP) in Belgian general practice in the context of a cluster RCT: a process evaluation using the RE-AIM framework. BMC Prim Care. 2024;25(1):247. https:\/\/doi.org\/10.1186\/S12875-024-02510-5.","journal-title":"BMC Prim Care"},{"key":"3028_CR54","doi-asserted-by":"publisher","DOI":"10.1136\/BMJOQ-2023-002679","author":"T Winnifrith","year":"2024","unstructured":"Winnifrith T, Millington-Sanders C, Husbands E, Haros J, Ballinger H. Proactive advance care planning conversations in general practice: a quality improvement project. BMJ Open Qual. 2024. https:\/\/doi.org\/10.1136\/BMJOQ-2023-002679.","journal-title":"BMJ Open Qual"},{"issue":"1","key":"3028_CR55","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12875-024-02283-X","volume":"25","author":"K Eli","year":"2024","unstructured":"Eli K, Harlock J, Huxley CJ, et al. Patient and relative experiences of the respect process in the community: an interview-based study. BMC Prim Care. 2024;25(1):1\u20139. https:\/\/doi.org\/10.1186\/S12875-024-02283-X.","journal-title":"BMC Prim Care"},{"issue":"12","key":"3028_CR56","doi-asserted-by":"publisher","DOI":"10.1093\/AGEING\/AFAD234","volume":"52","author":"N Andrews","year":"2023","unstructured":"Andrews N, Myall M. I don\u2019t think they really link together, do they?\u2019 an ethnography of multi-professional involvement in advance care planning in nursing homes. Age Ageing. 2023;52(12):afad234. https:\/\/doi.org\/10.1093\/AGEING\/AFAD234.","journal-title":"Age Ageing"},{"issue":"1","key":"3028_CR57","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12904-023-01165-W\/TABLES\/2","volume":"22","author":"D Nimmons","year":"2023","unstructured":"Nimmons D, Manthorpe J, West E, et al. Views of people living with dementia and their carers on their present and future: a qualitative study. BMC Palliat Care. 2023;22(1):1\u201313. https:\/\/doi.org\/10.1186\/S12904-023-01165-W\/TABLES\/2.","journal-title":"BMC Palliat Care"},{"issue":"721","key":"3028_CR58","doi-asserted-by":"publisher","first-page":"E571","DOI":"10.3399\/BJGP.2021.0700","volume":"72","author":"A Canny","year":"2022","unstructured":"Canny A, Mason B, Stephen J, et al. Advance care planning in primary care for patients with Gastrointestinal cancer: feasibility randomised trial. Br J Gen Pract. 2022;72(721):E571\u201380. https:\/\/doi.org\/10.3399\/BJGP.2021.0700.","journal-title":"Br J Gen Pract"},{"issue":"3","key":"3028_CR59","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1093\/AGEING\/AFV041","volume":"44","author":"I Musa","year":"2015","unstructured":"Musa I, Seymour J, Narayanasamy MJ, Wada T, Conroy S. A survey of older peoples\u2019 attitudes towards advance care planning. Age Ageing. 2015;44(3):371\u20136. https:\/\/doi.org\/10.1093\/AGEING\/AFV041.","journal-title":"Age Ageing"},{"issue":"3","key":"3028_CR60","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1177\/17423953211000386","volume":"18","author":"AC Gardener","year":"2021","unstructured":"Gardener AC, Moore C, Farquhar M, Ewing G, Massou E, Duschinsky R. I\u2019m fine!\u2019: assertions of lack of support need among patients with chronic obstructive pulmonary disease: a mixed-methods study. Chronic Illness. 2021;18(3):574. https:\/\/doi.org\/10.1177\/17423953211000386.","journal-title":"Chronic Illness"},{"issue":"2","key":"3028_CR61","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1093\/FAMPRA\/CMAC062","volume":"40","author":"S Hayashi","year":"2023","unstructured":"Hayashi S, Shirahige Y, Fujioka S, et al. Relationship between patient-centred care and advance care planning among home medical care patients in Japan: the Zaitaku evaluative initiatives and outcome study. Fam Pract. 2023;40(2):211\u20137. https:\/\/doi.org\/10.1093\/FAMPRA\/CMAC062.","journal-title":"Fam Pract"},{"issue":"4","key":"3028_CR62","first-page":"209","volume":"47","author":"Y Ohnuki","year":"2022","unstructured":"Ohnuki Y, Takahashi K, Suzuki Y, Takeshita K. Possible significance of a caf\u00e9-style event to introduce advance care planning for general citizens. Tokai J Exp Clin Med. 2022;47(4):209\u201314.","journal-title":"Tokai J Exp Clin Med"},{"issue":"2","key":"3028_CR63","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1093\/FAMPRA\/CMW126","volume":"34","author":"T Aoki","year":"2017","unstructured":"Aoki T, Miyashita J, Yamamoto Y, et al. Patient experience of primary care and advance care planning: a multicentre cross-sectional study in Japan. Fam Pract. 2017;34(2):206\u201312. https:\/\/doi.org\/10.1093\/FAMPRA\/CMW126.","journal-title":"Fam Pract"},{"issue":"3","key":"3028_CR64","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1002\/JGF2.238","volume":"20","author":"S Hamada","year":"2019","unstructured":"Hamada S, Haruta J, Hamano J, Maeno T, Maeno T. Associated factors for discussing advance directives with family physicians by noncancer outpatients in Japan. J Gen Fam Med. 2019;20(3):82\u201392. https:\/\/doi.org\/10.1002\/JGF2.238.","journal-title":"J Gen Fam Med"},{"issue":"9","key":"3028_CR65","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1111\/GGI.14932","volume":"24","author":"H Yoshihara-Kurihara","year":"2024","unstructured":"Yoshihara-Kurihara H, Hori H, Fuse A, et al. Effectiveness of initiating advance care planning among older outpatients through intervention by physicians trained in a model discussion video: a randomized controlled trial. Geriatr Gerontol Int. 2024;24(9):859\u201366. https:\/\/doi.org\/10.1111\/GGI.14932.","journal-title":"Geriatr Gerontol Int"},{"key":"3028_CR66","doi-asserted-by":"publisher","unstructured":"Tsuda S, Janevic MR, Shikano K, Matsui T, Tsuda T. Group-based educational intervention for advance care planning in primary care: A quasi-experimental study in Japan. Asia Pac Fam Med. 2020;18(1). https:\/\/doi.org\/10.22146\/APFM.V18I1.54.","DOI":"10.22146\/APFM.V18I1.54"},{"key":"3028_CR67","doi-asserted-by":"publisher","DOI":"10.1186\/S12877-022-03256-4","author":"AGM van der Plas","year":"2022","unstructured":"van der Plas AGM, Schellekens JEAP, Glaudemans JJ, Onwuteaka-Philipsen BD. The patient\u2019s relationship with the general practitioner before and after advance care planning: pre\/post-implementation study. BMC Geriatr. 2022. https:\/\/doi.org\/10.1186\/S12877-022-03256-4.","journal-title":"BMC Geriatr"},{"issue":"4","key":"3028_CR68","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1093\/FAMPRA\/CMZ089","volume":"37","author":"JJ Glaudemans","year":"2021","unstructured":"Glaudemans JJ, Willems DL, Wind J, Onwuteaka Philipsen BD. Preventing unwanted situations and gaining trust: a qualitative study of older people and families\u2019 experiences with advance care planning in the daily practice of primary care. Fam Pract. 2021;37(4):519\u201324. https:\/\/doi.org\/10.1093\/FAMPRA\/CMZ089.","journal-title":"Fam Pract"},{"issue":"1","key":"3028_CR69","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12877-018-0872-6\/TABLES\/1","volume":"18","author":"B Tilburgs","year":"2018","unstructured":"Tilburgs B, Vernooij-Dassen M, Koopmans R, Weidema M, Perry M, Engels Y. The importance of trust-based relations and a holistic approach in advance care planning with people with dementia in primary care: A qualitative study. BMC Geriatr. 2018;18(1):1\u201311. https:\/\/doi.org\/10.1186\/S12877-018-0872-6\/TABLES\/1.","journal-title":"BMC Geriatr"},{"issue":"3","key":"3028_CR70","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1016\/J.PEC.2014.03.009","volume":"95","author":"MPS Van Wijmen","year":"2014","unstructured":"Van Wijmen MPS, Pasman HRW, Widdershoven GAM, Onwuteaka-Philipsen BD. Motivations, aims and communication around advance directives: a mixed-methods study into the perspective of their owners and the influence of a current illness. Patient Educ Couns. 2014;95(3):393\u20139. https:\/\/doi.org\/10.1016\/J.PEC.2014.03.009.","journal-title":"Patient Educ Couns"},{"issue":"1","key":"3028_CR71","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12913-023-10491-X\/TABLES\/3","volume":"24","author":"H Gerger","year":"2024","unstructured":"Gerger H, van Dijk-de Vries A, Moser A, et al. Adjusting advance care planning to older people\u2019s needs: results from focus groups and interviews. BMC Health Serv Res. 2024;24(1):1\u20139. https:\/\/doi.org\/10.1186\/S12913-023-10491-X\/TABLES\/3.","journal-title":"BMC Health Serv Res"},{"key":"3028_CR72","doi-asserted-by":"publisher","DOI":"10.1016\/J.SSMQR.2022.100174","volume":"2","author":"C Carter","year":"2022","unstructured":"Carter C, Mohammed S, Upshur R, Kontos P. How the more life discourse constrains end-of-life conversations in the primary care of medically frail older adults: a critical ethnography. SSM - Qualitative Res Health. 2022;2:100174. https:\/\/doi.org\/10.1016\/J.SSMQR.2022.100174.","journal-title":"SSM - Qualitative Res Health"},{"issue":"1","key":"3028_CR73","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12875-020-01206-W\/PEER-REVIEW","volume":"21","author":"C Kendell","year":"2020","unstructured":"Kendell C, Kotecha J, Martin M, Han H, Jorgensen M, Urquhart R. Patient and caregiver perspectives on early identification for advance care planning in primary healthcare settings. BMC Fam Pract. 2020;21(1):1\u20139. https:\/\/doi.org\/10.1186\/S12875-020-01206-W\/PEER-REVIEW.","journal-title":"BMC Fam Pract"},{"issue":"1","key":"3028_CR74","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12875-020-01167-0\/TABLES\/2","volume":"21","author":"C Bernard","year":"2020","unstructured":"Bernard C, Tan A, Slaven M, Elston D, Heyland DK, Howard M. Exploring patient-reported barriers to advance care planning in family practice. BMC Fam Pract. 2020;21(1):1\u20139. https:\/\/doi.org\/10.1186\/S12875-020-01167-0\/TABLES\/2.","journal-title":"BMC Fam Pract"},{"key":"3028_CR75","doi-asserted-by":"publisher","unstructured":"Bzura M, Kubba H, West S, Schramm L, Clay AT, Nilson S. Progress in palliative care science and the Art of caring engagement and attitudes towards advanced care planning in primary care during COVID-19: A cross-sectional survey of older adults engagement and attitudes towards advanced care planning in primary care during COVID-19: A cross-sectional survey of older adults. Published online 2022. https:\/\/doi.org\/10.1080\/09699260.2022.2152987","DOI":"10.1080\/09699260.2022.2152987"},{"key":"3028_CR76","doi-asserted-by":"publisher","DOI":"10.1177\/26323524221092458","author":"S Whyte","year":"2022","unstructured":"Whyte S, Rego J, Fai Chan H, Chan RJ, Yates P, Dulleck U. Cognitive and behavioural bias in advance care planning. Palliat Care Soc Pract. 2022. https:\/\/doi.org\/10.1177\/26323524221092458.","journal-title":"Palliat Care Soc Pract"},{"key":"3028_CR77","doi-asserted-by":"publisher","DOI":"10.1186\/S12904-019-0411-Z","author":"H Miller","year":"2019","unstructured":"Miller H, Tan J, Clayton JM, et al. Patient experiences of nurse-facilitated advance care planning in a general practice setting: a qualitative study. BMC Palliat Care. 2019. https:\/\/doi.org\/10.1186\/S12904-019-0411-Z.","journal-title":"BMC Palliat Care"},{"issue":"1","key":"3028_CR78","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12875-024-02499-X\/FIGURES\/1","volume":"25","author":"B Driller","year":"2024","unstructured":"Driller B, Maienborn C, Aasen EM, et al. Normality and compassionate care: experiences from advanced cancer patients in their last time at home. BMC Prim Care. 2024;25(1):1\u201311. https:\/\/doi.org\/10.1186\/S12875-024-02499-X\/FIGURES\/1.","journal-title":"BMC Prim Care"},{"issue":"5","key":"3028_CR79","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1177\/0269216315605753","volume":"30","author":"G Bollig","year":"2016","unstructured":"Bollig G, Gjengedal E, Rosland JH. They know!-Do they? A qualitative study of residents and relatives views on advance care planning, end-of-life care, and decision-making in nursing homes. Palliat Med. 2016;30(5):456\u201370. https:\/\/doi.org\/10.1177\/0269216315605753.","journal-title":"Palliat Med"},{"issue":"1","key":"3028_CR80","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1017\/S1478951521001942","volume":"21","author":"A Finkelstein","year":"2023","unstructured":"Finkelstein A, Resnizky S, Cohen Y, et al. Promoting advance care planning (ACP) in community health clinics in Israel: perceptions of older adults with pro-ACP attitudes and their family physicians. Palliat Support Care. 2023;21(1):83\u201392. https:\/\/doi.org\/10.1017\/S1478951521001942.","journal-title":"Palliat Support Care"},{"issue":"1","key":"3028_CR81","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1080\/02813432.2022.2057055","volume":"40","author":"C Busa","year":"2022","unstructured":"Busa C, Pozsgai E, Zeller J, Csikos A. Who should talk with patients about their end-of-life care wishes? A nationwide survey of the Hungarian population. Scand J Prim Health Care. 2022;40(1):157\u201364. https:\/\/doi.org\/10.1080\/02813432.2022.2057055.","journal-title":"Scand J Prim Health Care"},{"key":"3028_CR82","doi-asserted-by":"publisher","DOI":"10.1186\/S12877-017-0482-8","author":"T Luck","year":"2017","unstructured":"Luck T, Rodriguez FS, Wiese B, et al. Advance directives and power of attorney for health care in the oldest-old - results of the agequalide study. BMC Geriatr. 2017. https:\/\/doi.org\/10.1186\/S12877-017-0482-8.","journal-title":"BMC Geriatr"},{"issue":"2","key":"3028_CR83","doi-asserted-by":"publisher","first-page":"e048314","DOI":"10.1136\/BMJOPEN-2020-048314","volume":"12","author":"MK Lim","year":"2022","unstructured":"Lim MK, Lai PSM, Lim PS, Wong PS, Othman S, Mydin FHM. Knowledge, attitude and practice of community-dwelling adults regarding advance care planning in Malaysia: a cross-sectional study. BMJ Open. 2022;12(2):e048314. https:\/\/doi.org\/10.1136\/BMJOPEN-2020-048314.","journal-title":"BMJ Open"},{"issue":"3","key":"3028_CR84","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1177\/17423953211000386","volume":"18","author":"AC Gardener","year":"2022","unstructured":"Gardener AC, Moore C, Farquhar M, Ewing G, Massou E, Duschinsky R. I\u2019m fine! Assertions of lack of support need among patients with chronic obstructive pulmonary disease: a mixed-methods study. Chronic Illness. 2022;18(3):574\u201388. https:\/\/doi.org\/10.1177\/17423953211000386.","journal-title":"Chronic Illness"},{"key":"3028_CR85","unstructured":"Resuscitation Council UK. ReSPECT for healthcare professionals. https:\/\/www.resus.org.uk\/respect\/respect-healthcare-professionals. Accessed 26 July 2025."},{"key":"3028_CR86","doi-asserted-by":"publisher","unstructured":"Mullick A, Martin J, Sallnow L. An introduction to advance care planning in practice. BMJ (Online). 2013;347(7930). https:\/\/doi.org\/10.1136\/BMJ.F6064.","DOI":"10.1136\/BMJ.F6064"},{"key":"3028_CR87","unstructured":"Royal College of General Practitioners. Fit for the Future: GP Pressures. 2023. https:\/\/www.rcgp.org.uk\/getmedia\/f16447b1-699c-4420-8ebe-0239a978c179\/gp-pressures-2023.pdf. Accessed 17 Oct 2023."},{"key":"3028_CR88","doi-asserted-by":"publisher","DOI":"10.1186\/S12960-020-0448-3","author":"X Zhang","year":"2020","unstructured":"Zhang X, Lin D, Pforsich H, Lin VW. Physician workforce in the United States of America: forecasting nationwide shortages. Hum Resour Health. 2020. https:\/\/doi.org\/10.1186\/S12960-020-0448-3.","journal-title":"Hum Resour Health"},{"key":"3028_CR89","unstructured":"Australian Medical Association. The General Practitioner Workforce: Why the Neglect Must End. 2022. https:\/\/www.ama.com.au\/articles\/general-practitioner-workforce-why-neglect-must-end. Accessed 17 Oct 2023."},{"issue":"5","key":"3028_CR90","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1177\/08404704231183863","volume":"36","author":"CM Flood","year":"2023","unstructured":"Flood CM, Thomas B, McGibbon E. Canada\u2019s primary care crisis: federal government response. Healthc Manage Forum. 2023;36(5):327. https:\/\/doi.org\/10.1177\/08404704231183863.","journal-title":"Healthc Manage Forum"},{"key":"3028_CR91","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-6-56","author":"B McKinstry","year":"2006","unstructured":"McKinstry B, Colthart I, Elliott K, Hunter C. The feminization of the medical work force, implications for Scottish primary care: a survey of Scottish general practitioners. BMC Health Serv Res. 2006. https:\/\/doi.org\/10.1186\/1472-6963-6-56.","journal-title":"BMC Health Serv Res"},{"key":"3028_CR92","doi-asserted-by":"publisher","DOI":"10.1186\/S12909-020-1959-2","author":"D Laurence","year":"2020","unstructured":"Laurence D, G\u00f6rlich Y, Simmenroth A. How do applicants, students and physicians think about the feminisation of medicine? - A questionnaire-survey. BMC Med Educ. 2020. https:\/\/doi.org\/10.1186\/S12909-020-1959-2.","journal-title":"BMC Med Educ"},{"issue":"523","key":"3028_CR93","first-page":"134","volume":"56","author":"L Jones","year":"2006","unstructured":"Jones L, Fisher T. Workforce trends in general practice in the UK: results from a longitudinal study of doctors\u2019 careers. Br J Gen Pract. 2006;56(523):134\u20136. https:\/\/bjgp.org\/content\/56\/523\/134.short. Accessed September 4, 2024.","journal-title":"Br J Gen Pract"},{"issue":"1","key":"3028_CR94","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12875-024-02419-Z\/TABLES\/4","volume":"25","author":"A Schrimpf","year":"2024","unstructured":"Schrimpf A, Scheiwe E, Bleckwenn M. Insights from end-of-career general practitioners on changing working conditions and generational differences: considerations for future strategies. BMC Prim Care. 2024;25(1):1\u201315. https:\/\/doi.org\/10.1186\/S12875-024-02419-Z\/TABLES\/4.","journal-title":"BMC Prim Care"},{"key":"3028_CR95","unstructured":"Health and Social Care Committee. The Future of General Practice. 2022. https:\/\/publications.parliament.uk\/pa\/cm5803\/cmselect\/cmhealth\/113\/report.html. Accessed 1 Oct 2024."},{"key":"3028_CR96","unstructured":"NHS England. Primary care networks. Accessed September 4. 2024. https:\/\/www.england.nhs.uk\/primary-care\/primary-care-networks\/"},{"issue":"672","key":"3028_CR97","doi-asserted-by":"publisher","first-page":"310","DOI":"10.3399\/BJGP18X697565","volume":"68","author":"A Curran","year":"2018","unstructured":"Curran A, Parle J. Physician associates in general practice: what is their role? Br J Gen Pract. 2018;68(672):310. https:\/\/doi.org\/10.3399\/BJGP18X697565.","journal-title":"Br J Gen Pract"},{"issue":"698","key":"3028_CR98","doi-asserted-by":"publisher","first-page":"e676","DOI":"10.3399\/BJGP20X712349","volume":"70","author":"M Murphy","year":"2020","unstructured":"Murphy M, Salisbury C. Relational continuity and patients\u2019 perception of GP trust and respect: a qualitative study. Br J Gen Pract. 2020;70(698):e676\u201383. https:\/\/doi.org\/10.3399\/BJGP20X712349.","journal-title":"Br J Gen Pract"},{"key":"3028_CR99","doi-asserted-by":"publisher","unstructured":"Waters A. General practice: policy makers must value continuity of care over access and targets, GP conference hears. BMJ. 2022;377(o1202). https:\/\/doi.org\/10.1136\/BMJ.O1202.","DOI":"10.1136\/BMJ.O1202"},{"issue":"1","key":"3028_CR100","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1089\/PMR.2020.0116","volume":"2","author":"MA Hasdianda","year":"2021","unstructured":"Hasdianda MA, Gray TF, Bello J, Lo, et al. Nurses\u2019 perceptions of facilitating advance care planning conversations in the emergency department. Palliat Med Rep. 2021;2(1):65\u201370. https:\/\/doi.org\/10.1089\/PMR.2020.0116.","journal-title":"Palliat Med Rep"},{"issue":"15\u201316","key":"3028_CR101","doi-asserted-by":"publisher","first-page":"2057","DOI":"10.1111\/JOCN.12853","volume":"24","author":"LS Ke","year":"2015","unstructured":"Ke LS, Huang X, O\u2019Connor M, Lee S. Nurses\u2019 views regarding implementing advance care planning for older people: a systematic review and synthesis of qualitative studies. J Clin Nurs. 2015;24(15\u201316):2057\u201373. https:\/\/doi.org\/10.1111\/JOCN.12853.","journal-title":"J Clin Nurs"},{"issue":"1","key":"3028_CR102","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/S12904-021-00835-X\/TABLES\/2","volume":"20","author":"SO Ohr","year":"2021","unstructured":"Ohr SO, Cleasby P, Jeong SYS, Barrett T. Nurse-led normalised advance care planning service in hospital and community health settings: a qualitative study. BMC Palliat Care. 2021;20(1):1\u201312. https:\/\/doi.org\/10.1186\/S12904-021-00835-X\/TABLES\/2.","journal-title":"BMC Palliat Care"},{"key":"3028_CR103","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/J.IJNURSTU.2018.07.008","volume":"87","author":"HYL Chan","year":"2018","unstructured":"Chan HYL, Ng JSC, Chan KS, et al. Effects of a nurse-led post-discharge advance care planning programme for community-dwelling patients nearing the end of life and their family members: a randomised controlled trial. Int J Nurs Stud. 2018;87:26\u201333. https:\/\/doi.org\/10.1016\/J.IJNURSTU.2018.07.008.","journal-title":"Int J Nurs Stud"},{"issue":"2","key":"3028_CR104","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1007\/S11606-019-05343-6","volume":"35","author":"K Prasad","year":"2020","unstructured":"Prasad K, Poplau S, Brown R, et al. Time pressure during primary care office visits: a prospective evaluation of data from the healthy work place study. J Gen Intern Med. 2020;35(2):465. https:\/\/doi.org\/10.1007\/S11606-019-05343-6.","journal-title":"J Gen Intern Med"},{"issue":"4","key":"3028_CR105","doi-asserted-by":"publisher","first-page":"e002700","DOI":"10.1136\/BMJOPEN-2013-002700","volume":"3","author":"E Tsiga","year":"2013","unstructured":"Tsiga E, Panagopoulou E, Sevdalis N, Montgomery A, Benos A. The influence of time pressure on adherence to guidelines in primary care: an experimental study. BMJ Open. 2013;3(4):e002700. https:\/\/doi.org\/10.1136\/BMJOPEN-2013-002700.","journal-title":"BMJ Open"},{"issue":"5","key":"3028_CR106","doi-asserted-by":"publisher","first-page":"e0000029","DOI":"10.1371\/JOURNAL.PDIG.0000029","volume":"1","author":"E Li","year":"2022","unstructured":"Li E, Tsopra Id R, Jimenez Id G, et al. General practitioners\u2019 perceptions of using virtual primary care during the COVID-19 pandemic: an international cross-sectional survey study. PLoS Digit Health. 2022;1(5):e0000029. https:\/\/doi.org\/10.1371\/JOURNAL.PDIG.0000029.","journal-title":"PLoS Digit Health"},{"key":"3028_CR107","unstructured":"Royal College of general Practitioners. GPs need more time with patients \u2013 but short appointments aren\u2019t always inappropriate. 2023. https:\/\/www.rcgp.org.uk\/News\/Lib-Dem-Consultation-Response. Accessed 19 Oct 2023."},{"key":"3028_CR108","doi-asserted-by":"publisher","unstructured":"Anderson J, Walsh J, Anderson M, Burnley R. Patient satisfaction with remote consultations in a primary care setting. Cureus. 2021;13(9). https:\/\/doi.org\/10.7759\/CUREUS.17814.","DOI":"10.7759\/CUREUS.17814"},{"issue":"e1","key":"3028_CR109","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2018-001531","volume":"14","author":"JJ Rhee","year":"2018","unstructured":"Rhee JJ, Teo PCK, Mitchell GK, Senior HE, Tan AJH, Clayton JM. General practitioners (GPs) and end-of-life care: a qualitative study of Australian GPs and specialist palliative care clinicians. BMJ Support Palliat Care. 2018;14(e1):bmjspcare-2018-001531. https:\/\/doi.org\/10.1136\/bmjspcare-2018-001531.","journal-title":"BMJ Support Palliat Care"},{"issue":"650","key":"3028_CR110","doi-asserted-by":"publisher","first-page":"e647","DOI":"10.3399\/bjgp16X686113","volume":"66","author":"S Mitchell","year":"2016","unstructured":"Mitchell S, Loew J, Millington-Sanders C, Dale J. Providing end-of-life care in general practice: findings of a National GP questionnaire survey. Br J Gen Pract. 2016;66(650):e647\u201353. https:\/\/doi.org\/10.3399\/bjgp16X686113.","journal-title":"Br J Gen Pract"},{"issue":"6","key":"3028_CR111","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1093\/fampra\/cmv072","volume":"32","author":"K Beermaert","year":"2015","unstructured":"Beermaert K, Van de Block L, Van Thienen K, et al. Family physicians\u2019 role in palliative care throughout the care continuum: stakeholder perspectives. Fam Pract. 2015;32(6):694\u2013700. https:\/\/doi.org\/10.1093\/fampra\/cmv072.","journal-title":"Fam Pract"},{"issue":"1","key":"3028_CR112","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1007\/S11845-021-02554-X","volume":"191","author":"K Somal","year":"2022","unstructured":"Somal K, Foley T. General practitioners\u2019 views of advance care planning: a questionnaire-based study. Ir J Med Sci. 2022;191(1):253\u201362. https:\/\/doi.org\/10.1007\/S11845-021-02554-X.","journal-title":"Ir J Med Sci"},{"key":"3028_CR113","doi-asserted-by":"publisher","unstructured":"Chan HY, lai, Kwok AO ling, Yuen K, keung. Au DK sing, Yuen JK yuk. Association between training experience and readiness for advance care planning among healthcare professionals: a cross-sectional study. BMC Med Educ. 2020;20(1). https:\/\/doi.org\/10.1186\/S12909-020-02347-3","DOI":"10.1186\/S12909-020-02347-3"},{"issue":"2","key":"3028_CR114","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1177\/0038038591025002009","volume":"25","author":"T Walter","year":"1991","unstructured":"Walter T. Modern death: taboo or not taboo? Sociology. 1991;25(2):293\u2013310. https:\/\/doi.org\/10.1177\/0038038591025002009.","journal-title":"Sociology"},{"issue":"622","key":"3028_CR115","doi-asserted-by":"publisher","first-page":"243","DOI":"10.3399\/bjgp14X679769","volume":"64","author":"E Lakasing","year":"2014","unstructured":"Lakasing E. Death\u2019s worsening taboo: is hampering the provision of high quality palliative care. Br J Gen Pract. 2014;64(622):243\u2013243. https:\/\/doi.org\/10.3399\/bjgp14X679769.","journal-title":"Br J Gen Pract"},{"issue":"1","key":"3028_CR116","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/J.PEC.2021.06.008","volume":"105","author":"S Diegelmann","year":"2022","unstructured":"Diegelmann S, Bidmon S, Terlutter R. Promoting advance care planning via mediated health resources: a systematic mixed studies review. Patient Educ Couns. 2022;105(1):15\u201329. https:\/\/doi.org\/10.1016\/J.PEC.2021.06.008.","journal-title":"Patient Educ Couns"},{"key":"3028_CR117","doi-asserted-by":"publisher","DOI":"10.1111\/OPN.12397","author":"EJ Park","year":"2021","unstructured":"Park EJ, Jo M, Park M, Kang SJ. Advance care planning for older adults in community-based settings: an umbrella review. Int J Older People Nurs. 2021. https:\/\/doi.org\/10.1111\/OPN.12397.","journal-title":"Int J Older People Nurs"}],"container-title":["BMC Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-025-03028-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12875-025-03028-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-025-03028-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:08:20Z","timestamp":1781611700000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12875-025-03028-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":117,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3028"],"URL":"https:\/\/doi.org\/10.1186\/s12875-025-03028-0","relation":{},"ISSN":["2731-4553"],"issn-type":[{"value":"2731-4553","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"assertion":[{"value":"17 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"337"}}