Rebecca Sudore
speaker
816 appearances
5 recordings
1 series
first heard May 2017
last heard Mar 2022
Rebecca Sudore’s voice in public audio — every appearance, attributed to the second.
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really went to try to create these categories or buckets of advanced care planning outcomes that sort of made s you know the most sense.
And so um I'll just say we went back and we looked, okay, if we look at these categories of advanced care planning outcomes, are they positive?
Are they negative?
What's going on?
So the first sort of I would say set of types of outcomes that we looked at are process and what we call action outcomes.
So process outcomes are those things where patients will say, I feel ready to make these decisions, I feel ready to have these conversations, I feel confident, I have self-efficacy that I can do it and I'm moving along the behavior change pathway and I can engage in this stuff.
Action outcomes are those things that patients say, yes, I had a conversation, I documented my wishes, my family and I have made these decisions, and those were overwhelmingly positive.
70 to 80, over 80% of those outcomes were positive.
So I think what this tells us is that these interventions are helping people sort of engage in the process.
So that's great.
There's another kind of outcome type, which we in the Delphi panel called quality of care.
And what gets in that quality of care bucket is goal concorded care.
We can talk about that separately.
I could talk about that all day.
Um, and I would say that most people say, well, that's really the gold standard of advanced care planning.
Goal concorded care.
People get the care that's consistent with their goals.
But you can see from Ryan's, you know, great example at the top of this podcast.
all the problems in actually measuring that.
Like it sounds great, but unless you were fly on the wall.
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