End-of-life services are resource intensive. The NZMA supports Advance Care Planning and provides resources for Advance Directives and resuscitation orders. The NZMA Code of Ethics also provides guidance for doctors in giving effect to advance care plans and, more generally, recognises the rights, autonomy and freedom of choice of patients.
End-of-Life Care advocacy issues include:
- public awareness of ACP and tools
- training and support for health practitioners
- equity of access to end-of-life care and support services
- role of good communication and information systems
- workforce—including specialist palliative care
System issues (including IT) and funding are seen as barriers to the implementation of ACP at a practice and a whole-of-sector level. However there is an opportunity to learn from health services that are doing this well, eg, CDHB