The perception and attitudes of Israeli cancer patients regarding advance care planning

Gil Bar-Sela, Shlomit Bagon, Inbal Mitnik, Shay Adi, Svetlana Baziliansky, Avigail Bar-Sella, Olga Vornicova, Tzahala Tzuk-Shina

Research output: Contribution to journalArticlepeer-review


Objectives: Advance care planning (ACP) allows patients to acknowledge and document their preferences regarding end-of-life care and to ensure their fulfilment. Several factors were found to be related to patients' motivation regarding this process, such as their fear of being a burden on family members; however, the completion rate of the ACP forms is partial. The current study aimed to evaluate the barriers and motives among Israeli cancer patients regarding ACP, including many older adults. Setting and measurements: Advanced cancer patients participated in the study. All completed an initial questionnaire to evaluate their basic knowledge regarding the issue. Participants who agreed to talk with a social worker completed a semi open-ended questionnaire which investigated their main motives and barriers regarding the issue. Results: Most of the patients who completed the ACP forms were older and had lung cancer. They mentioned information and open communication with family and staff members as the main enabling factors. Their main motives were to ensure that the best medical decisions would be made and to avoid unnecessary medical procedures. The main reasons for not completing the forms was no close relative who would agree to take the responsibility as well as timing. Most of the participants did not hear about the issue from sources outside the oncology division. Conclusions: Despite several limitations, the current findings may have important implications regarding ways to establish a more suitable ACP process, adjusted to older patients' needs. This may assist in promoting patients' cooperation with ACP and its implementation in the medical system, including older adults.

Original languageEnglish
Pages (from-to)1181-1185
Number of pages5
JournalJournal of Geriatric Oncology
Issue number8
StatePublished - Nov 2021
Externally publishedYes

Bibliographical note

Funding Information:
The Gertner Institute for Epidemiology and Health Policy Research supported this study. It was not involved at any stage of data collection, interpretation of results or the writing of this paper.

Publisher Copyright:
© 2021 Elsevier Ltd


  • Advanced care planning
  • Advanced directives
  • Cancer patients
  • Durable power of attorney
  • End-of-life

ASJC Scopus subject areas

  • Oncology
  • Geriatrics and Gerontology


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