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Table 4 Predictors of advance care directives in hospital and aged care facility organisations

From: Organisational and advance care planning program characteristics associated with advance care directive completion: a prospective multicentre cross-sectional audit among health and residential aged care services caring for older Australians

Characteristic

Level

Unadjusted results

Adjusted results

aMean prevalence %

95% CI mean

p

aMean prevalence %

95% CI mean

p

Residential aged care facilities

State

ACT

17.8

(2.5, 99.1)

< 0.001

13.6

(2.1, 67.3)

0.22

New South Wales

28.2

(19.1, 41.4)

 

22.1

(13.5, 35.9)

 

Queensland

30.2

(19.0, 47.8)

 

25.7

(15.0, 43.4)

 

South Australia

46.2

(24.1, 87.8)

 

22.1

(11.3, 42.3)

 

Victoria

26.4

(16.8, 41.2)

 

26.6

(16.3, 43.2)

 

Western Australia

3.7

(−0.1, 24)

 

2.6

(−0.2, 16.2)

 

Location

Metropolitan

20.3

(14.9, 27.6)

0.01

9.2

(5.2, 15.8)

0.008

Regional

38.7

(27.5, 54.4)

18.0

(10.7, 29.7)

 

Rural or remote

48.0

(24.6, 93.0)

22.3

(10.3, 48.7)

 

Service funding

Government

32.0

(17.5, 57.9)

0.03

19.3

(9.5, 38.5)

< 0.001

NFP

32.5

(25.0, 42.0)

26.5

(17.2, 40.8)

 

Private

13.4

(7.1, 24.7)

7.2

(3.3, 14.6)

 

Year ACP Program Implemented

More than three years ago

33.2

(25.2, 43.8)

0.13

18.2

(10.4, 31.6)

0.16

No program

25.8

(14.3, 45.8)

20.1

(10.3, 38.4)

 

Within three years

17.9

(10.1, 31.0)

18.6

(4.9, 20.4)

 

Level of ACP Implementation

Low-medium (4 or less)

29.7

(21.3, 41.3)

0.77

   

High (5 or more)

27.8

(19.9, 38.6)

   

Hospitals

#Jurisdiction

ACT

7.4

(1.9, 22.9)

< 0.001

5.3

(0.8, 20.9)

0.005

New South Wales

1.2

(0.3, 2.7)

 

1.4

(0.2, 3.8)

 

Northern Territory

24.0

(4.7, 109.1)

 

35.3

(5.9, 188.3)

 

Queensland

17.9

(9.8, 32.0)

 

14.0

(6.7, 28.4)

 

Victoria

10.2

(5.4, 18.6)

 

8.8

(3.7, 19.4)

 

Western Australia

3.2

(0.5, 11.1)

 

3.4

(0.4, 12.8)

 

Location

Metropolitan

5.3

(2.3, 10.9)

0.46

   

Regional, Rural or remote

7.7

(3.7, 15.1)

    

Service Funding

Government

7.3

(4.1, 12.4)

0.49

   

Not for profit

3.2

(−0.6, 41.4)

    

Private

2.9

(0.0, 13.8)

    

My Health Record Access

No or unsure

5.6

(2.3, 12.4)

0.67

   

Yes

7.0

(3.5, 13.3)

    

Year ACP Program Implemented

More than three years ago

9.9

(5.4, 17.5)

0.02

8.2

(4.1, 15.7)

0.85

No program

2.2

(0.7, 5.3)

 

6.1

(2.6, 13.0)

 

Within three years

11.7

(3.7, 33.5)

 

8.3

(2.3, 24.7)

 

Level of ACP Implementation

Low-medium (4 or less)

3.4

(1.1, 8.2)

0.09

6.0

(2.5, 12.8)

0.29

High (5 or more)

8.6

(4.7, 15.1)

 

9.3

(5.1, 16.2)

 
  1. aPrevalence values were calculated for individual sites based on the sample of audited records, but assuming they were representative of the full site before calculating mean prevalence. As this value is an estimate, 95% confidence intervals are included. Model mean prevalence estimates are based on log-transformed prevalence values, which are then back-transformed. ACP Advance care planning, ACT Australian Capital Territory
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BMC Health Services Research

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