Table 3.
Characteristics of goals of care documentation by shared decision-making status.
| SDM | Non-SDM | P | |
|---|---|---|---|
| Number | 184 | 141 | |
| Before ACP | 45 (24.5) | 28 (19.9) | 0.3 |
| GoCF per patient | 2 [1–2] | 0 [0–1] | <0.0001 |
| GoCF completed by iValidate-trained clinician | 167 (90.8) | 38 (26.9) | <0.0001 |
| Components of GoCF | |||
| Decision-making capacity | 182 (98.9) | 50 (35.5) | <0.0001 |
| Values goals and preferencesa | 184 (100) | 33 (23.4) | <0.0001 |
| Medical advice offereda | 184 (100) | 36 (25.5) | <0.0001 |
| Deterioration treatment decision | |||
| ICU | 35 (19.0) | 25 (17.7) | 0.8 |
| HDU | 54 (29.3) | 17 (12.1) | <0.0001 |
| Ward-based care | 66 (35.9) | 7 (5) | <0.0001 |
| Palliative care | 29 (15.8) | 9 (6.4) | 0.009 |
| Not identified | 0 (0) | 83 (58.9) | <0.0001 |
Note: Data are reported as number (%) or median [interquartile range].
Abbreviations: ACP, advance care plan; GoCF, Goals of Care Form; HDU, high-dependency unit; ICU, intensive care unit; SDM, shared decision-making.
a
Necessary components of shared decision-making taught in iValidate.