Table 5 The reasons for not being able to engage patients in ACP in hospital and community settings
Reasons | Hospital settings | |||
LHD1 (n = 414/524) | LHD2 (n = 296/554) | Total (710/1078) | ||
1. SDM know my wishes; No SDM in hospital | 23 (3.2%) | 56 (6.9%) | 79 (5.2%) | |
2. Patient: were too unwell, not interested in, asleep, away at scan or dialysis, experienced cognitive decline or acute episode of mental health issue, had hearing impairment, felt too much going on emotionally and physically, need time to think about, and will do it at home | 416 (59.5%) | 482 (59.3%) | 898 (59.4%) | |
3. Visited by Doctor | 9 (1.3%) | 34 (4.2%) | 43 (2.8%) | |
4. Visited by Nurse | 11 (1.6%) | 30 (0.4%) | 41 (2.7%) | |
5. Visited by Allied Health Professional | 18 (2.6%) | 20 (0.3%) | 38 (2.5%) | |
6. Visited by family and friends | 5 (0.7%) | 39 (4.8%) | 44 (2.9%) | |
7. Discharged or transferred or deceased | 159 (22.7%) | 41 (5%) | 200 (13.2%) | |
8. Ran out of time | 34 (4.9%) | 2 (0.2%) | 36 (2.4%) | |
9. Already have ACD (done with solicitor, not in hospital medical record) | 15 (2.1%) | 21 (2.6%) | 36 (2.4%) | |
10. Not-For-Resuscitation order in place | 9 (1.3%) | 88 (0.9%) | 97 (6.4%) | |
Total | 699 (100%) | 813 (100%) | 1512 (100%) | |
Reasons | Community Settings | |||
| Â | LHD1 | LHD2a | Total | |
|  | Public (n = 257) | NGO (n = 42) | Public (n = 50) | 349 |
1. Not eligible (No chronic condition, No capacity) | 79 (31%) | 9 (21.4%) | 15 (25.4%) | 103 (28.8%) |
2. Not interested in | 67 (26%) | 27 (64.3%) | 29 (49%) | 123 (34.4%) |
3. Feels too young | 3 (1.2%) | 0 | 0 | 3 (0.8%) |
4. Transferred to or in hospital | 5 (1.9%) | 0 | 0 | 5 (1.4%) |
5. Too busy | 1 (0.4%) | 0 | 0 | 1 (0.3%) |
6. Home Care Service closed | 95 (37%) | 0 | 0 | 95 (26.5%) |
7. Too unwell or passed away | 5 (1.9%) | 3 (7.1%) | 0 | 8 (2.2%) |
8. Have all sorted (not sighted) | 2 (%) | 3 (7.1%) | 13 (22%) | 18 (5.0%) |
9. Palliative care | 0 | 0 | 2 (3.4%) | 2 (0.6%) |
Total | 257 (100%) | 42 (100%) | 59 (100%) | 358 (100%) |