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Cuadernos de Medicina Forense

versão On-line ISSN 1988-611Xversão impressa ISSN 1135-7606


JIMENEZ RODRIGUEZ, JM. The advance care plannings and its associated factors. Cuad. med. forense [online]. 2017, vol.23, n.1-2, pp.9-14. ISSN 1988-611X.


Determine the knowledge and advance care planning in primary care and to identify associated factors.

Material and Methods

Type of study: Cross-sectional multicentric study. Study population: Physicians and nurses of 15 Clinical Management Units at Cordoba and Guadalquivir Health District. Sampling: Multistage with N = 269. Tools: Validated questionnaire. Analysis: Descriptive and multivariate statistical analyses were done.


Mean age of 51 years professional (SD 8.2) and 60.9% of them were women. About 55.8% of participants were physicians and 79.3% had permanent posts. Mean working years was 23.5 (SD 9.4) and about 50.9% of participants worked at rural areas. Mean knowledge score was 5.1 (SD 2.09). 98.4% believe early vital will is regulated in Andalusia. About 56.9% have not read the regulatory document and 78.1% have not read the planning guidebook. More than 65% don’t know the corresponding registry office. 89.3% do not plan in the last year; who planned did that <3 times. The p value of planning is: 0.838 about sex; 0.521 about age; 0.841 about scope of work; 0.543 about professional category; 0.934 about years of service; and 0.210 about type of contract. Only the professional category is significantly (p=0.029) associated with the planning and reading of the guidebook to plan the advance directives.


Few medical practitioners plan with the patient. No independent study identifies factors.

Palavras-chave : Knowledge; Attitude; Advanced care planning; Primary care.

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