Josie Dixon|Tihana Matoševic|Martín Knapp
The economic evidence for advance care planning: Systematic review of evidence
London School of Economics and Political Science|London School of Economics and Political Science|London School of Economics and Political Science
advance care planning process discussion review concerning future care event losing capacity aimed improving appropriateness quality care also often considered means making better use healthcare resources end lifeto review summarise economic evidence advance care planninga systematic review academic literaturewe searched english language peerreviewed journal articles 19902014 using relevant research databases pubmed proquest cinahl plus full text econlit psycinfo socindex full text international bibliography social sciences empirical studies using statistical methods advance care planning costs variables includedthere published costeffectiveness studies included studies focus healthcare savings usually associated reduced demand hospital care advance care planning appears associated healthcare savings people circumstances people living dementia community people nursing homes areas high endoflife care spending evidence advance care planning likely expensivethere need clearer articulation likely mechanisms advance care planning lead reduced care costs improved costeffectiveness particularly people retain capacity also need consider wider costs including costs advance care planning facilitation interventions costs substitute health social informal care economic outcomes need considered context quality benefits