Thinking Outside the Visit: Primary Care Patient Perspectives on Helpful Advance Care Planning Methods

  • Leslie W. SuenEmail author
  • Sarah Leyde
  • Kathleen Min
  • Aiesha Volow
  • Michael Rabow
  • Rebecca L. Sudore
Concise Research Report


Advance care planning (ACP) is the process of planning for future medical care with the goal of helping patients receive care aligned with their preferences. Patients who engage in ACP with their primary care provider (PCP) report increased satisfaction and quality of life, and ACP is a key quality metric in primary care.1,2 Unfortunately, rates of ACP engagement remain low, with PCPs identifying lack of time during visits as a major barrier.3,4 Although tools exist to engage patients in ACP outside of the traditional primary care visit, patient perspectives of the acceptability of these methods are unknown. This qualitative study explored patients’ perceptions and acceptability of various ACP outreach methods available to directly engage patients outside of an office visit.


We conducted a qualitative study to assess strategies for ACP engagement outside the primary care visit using the perspectives gained from two focus groups of older primary care patients....




Funding Information

Drs. Leyde, Min, and Suen were funded by the 2018 UCSF Pathways to Discovery Grant for Resident Research. Dr. Sudore is funded in part by the National Institute in Aging (K24AG054415).

Compliance with Ethical Standards

This study was approved by the Institutional Review Board at the UCSF.

Conflict of Interest

The authors declare that they do not have a conflict of interest.


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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  1. 1.Division of General Internal Medicine, Department of Medicine University of California, San FranciscoSan FranciscoUSA
  2. 2.Division of Geriatrics, Department of MedicineUniversity of California, San FranciscoSan FranciscoUSA
  3. 3.Division of Palliative Medicine, Department of MedicineUniversity of California, San FranciscoSan FranciscoUSA
  4. 4.Innovation and Implementation Center in Aging and Palliative Care Research (I-CAP)University of California, San FranciscoSan FranciscoUSA
  5. 5.San Francisco Veterans Affairs Medical CenterSan FranciscoUSA

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