Evolution and current state of Advance Care Planning in Canada

Cari Borenko; Jessica Simon; Jeff Myers; Karine Diedrich; Kelli Stajduhar; Colleen Cash; Nicole Wikjord; Shelly Cory; Bren Schock

doi:10.1016/j.zefq.2023.04.009

Evolution and current state of Advance Care Planning in Canada

Z Evid Fortbild Qual Gesundhwes. 2023 Aug:180:36-42. doi: 10.1016/j.zefq.2023.04.009. Epub 2023 Aug 1.

Authors

Cari Borenko¹, Jessica Simon², Jeff Myers³, Karine Diedrich⁴, Kelli Stajduhar⁵, Colleen Cash⁶, Nicole Wikjord⁷, Shelly Cory⁸, Bren Schock⁹

Affiliations

¹ Fraser Health Authority, Surrey, British Columbia, Canada. Electronic address: Cari.borenko@fraserhealth.ca.
² Department of Oncology, University of Calgary, Calgary, Alberta, Canada.
³ Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
⁴ Canadian Hospice Palliative Care Association, Ottawa, Ontario, Canada.
⁵ School of Nursing and Institute on Aging & Lifelong Health, University of Victoria, Victoria, British Columbia, Canada.
⁶ Nova Scotia Hospice Palliative Care Association, Nova Scotia, Canada.
⁷ First Nations Health Authority, Vancouver, British Columbia, Canada.
⁸ Canadian Virtual Hospice, Winnipeg, Manitoba, Canada.
⁹ Saskatchewan Health Authority, Regina, Saskatchewan, Canada.

PMID: 37537087
DOI: 10.1016/j.zefq.2023.04.009

Abstract

Canada is one of the early pioneers of Advance Care Planning concepts, processes, programs and initiatives. The evolution of national messages, models and frameworks is shaped by our publicly funded healthcare system and culturally diverse populations. Our Pan-Canadian Community Framework highlights the importance of individuals, those that matter to them, communities, organizations, and healthcare professionals collaborating, integrating, sharing, and building upon each other's strengths and successes. This framework describes Canada's priority actions at national, provincial and local levels. Our collective vision is for Advance Care Planning to be a part of the life journey.

Keywords: Advance Care Planning; Diversity; Diversität; Gesetzgebung; Gesundheitsversorgung; Healthcare; Lebensplanung; Legislation; Life planning; Schwere Krankheit; Serious illness.