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BACKGROUND: The aim of this study is to investigate the effect of COVID-19 on the outpatient advance care planning (ACP) services provided by veterans hospitals in Taiwan METHODS: This study adopted a retrospective data analysis We investigated ACP services provided by 15 veterans hospitals in Taiwan from 2019 to June 2020 We also conducted a statistical analysis on the ACP services provided by the Taipei Veterans General Hospital RESULTS: From 2019 to June 2020, 15 veterans hospitals in Taiwan provided ACP services to 2493 individuals The outpatient ACP services declined significantly after January 2020, decreasing from a national average of 206 2 +/- 29 2 declarants per month to 106 2 +/- 30 8 declarants per month in the 6 months immediately following the COVID-19 pandemic outbreak (p < 0 001) From the official implementation of the ACP in January 2019 to the end of June 2020, a total of 1126 declarants accepted ACP services at the Taipei Veterans General Hospital When the COVID-19 pandemic was prevalent, the declarants who received ACP services were younger (i e , 60 1 +/- 15 2 vs 65 5 +/- 16 3 years;p < 0 001) After the variables had been adjusted, the changes in the characteristics of the declarants receiving ACP services when the COVID-19 pandemic was prevalent were as follows: a significant increase in the percentage of hospital staff receiving ACP services (odds ratio [OR]: 5 460, 95% confidence interval [CI]: 2 378-12 536);An increase in the percentage of declarants who paid for the ACP services received at their own expense (OR: 3 417, 95% CI: 1 591-7 339);and an increase in the percentage of declarants who received the consultations with three or more people (OR: 2 017, 95% CI: 1 278-3 182) CONCLUSION: COVID-19 severely changed outpatient ACP services provided by hospitals The results obtained by this study offer valuable insight regarding the provision of outpatient ACP services
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BACKGROUND: The aim of this study is to investigate the effect of COVID-19 on the outpatient advance care planning (ACP) services provided by veterans hospitals in Taiwan. METHODS: This study adopted a retrospective data analysis. We investigated ACP services provided by 15 veterans hospitals in Taiwan from 2019 to June 2020. We also conducted a statistical analysis on the ACP services provided by the Taipei Veterans General Hospital. RESULTS: From 2019 to June 2020, 15 veterans hospitals in Taiwan provided ACP services to 2,493 individuals. The outpatient ACP services declined significantly after January 2020, decreasing from a national average of 206.2 ± 29.2 declarants per month to 106.2 ± 30.8 declarants per month in the 6 months immediately following the COVID-19 pandemic outbreak (p < 0.001). From the official implementation of the ACP in January 2019 to the end of June 2020, a total of 1,126 declarants accepted ACP services at the Taipei Veterans General Hospital. When the COVID-19 pandemic was prevalent, the declarants who received ACP services were younger (i.e., 60.1 ± 15.2 vs. 65.5 ± 16.3 years; p <0.001). After the variables had been adjusted, the changes in the characteristics of the declarants receiving ACP services when the COVID-19 pandemic was prevalent were as follows: a significant increase in the percentage of hospital staff receiving ACP services (OR: 5.460, 95% CI: 2.378-12.536); An increase in the percentage of declarants who paid for the ACP services received at their own expense (OR: 3.417, 95% CI: 1.591-7.339); and an increase in the percentage of declarants who received the consultations with 3 or more people (OR: 2.017, 95% CI: 1.278-3.182). CONCLUSION: COVID-19 severely changed outpatient ACP services provided by hospitals. The results obtained by this study offer valuable insight regarding the provision of outpatient ACP services.
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