{
  "abstract": "Aim The primary aim of the two-stage research project is to identify and understand facilitators and barriers for General Practitioners (GPs) to embrace and implement ACP in their practice. In a second step, we aim to develop measures that may encourage GPs to actively participate in the ACP process.Background When contacted because their patients face life-threatening conditions rendering them incapable of decision-making, GPs are likely to benefit from robust advance care plans. GPs may participate in ACP for their patients by leading ACP conversations themselves and/or by cooperating with non-physician ACP facilitators. Nevertheless, GPs in Germany are found to be notoriously hesitant to get involved in the implementation of ACP.Methods In a first step, we will conduct 16–20 qualitative, guideline-based individual interviews, exploring facilitators and barriers regarding ACP in the perception of German GPs. For a systematic sampling, GPs with different levels of familiarity with and attitudes towards ACP will be recruited. The interviews will be analyzed as part of a Reflexive Thematic Analysis (RTA).Based on the results obtained in the RTA, the second step will involve 4 to 6 focus groups with GPs to investigate which measures could be promising to lower the threshold and increase motivation for GPs to engage in ACP. The data collected in this step will be analysed within the framework of a qualitative content analysis.Results Interviews for the first step will start in April. At the time of the conference, we will be able to present a preliminary analysis of a subsample of some 5 GP interviews.Unique contribution and Implications International studies show that the reluctance of GPs to participate, one way or other, in ACP is not merely a German phenomenon.¹ Increased involvement of GPs in the ACP process, however, could significantly contribute to a successful implementation of ACP and thus to care consistent with care preferences. Based on the results of this study, interventions are to be developed that motivate GPs to engage in ACP.References Sharp, Tim et al. (2018). DOI: 10.3399/bjgp17X694145Somal, Karen et al. (2022). DOI: 10.1007/s11845-021-02554-xVleminck, Aline de et al. (2013). DOI: 10.3109/02813432.2013.854590",
  "authors": [
    {
      "affiliations": [
        "Institut für Allgemeinmedizin, Universitätsklinikum Essen, Essen, Germany"
      ],
      "name": "Catrin Beu"
    },
    {
      "affiliations": [
        "Institut für Allgemeinmedizin, Universitätsklinikum Essen, Essen, Germany"
      ],
      "name": "Annika Godder"
    },
    {
      "affiliations": [
        "Institut für Allgemeinmedizin, Universitätsklinikum Essen, Essen, Germany"
      ],
      "name": "Jürgen in der Schmitten"
    }
  ],
  "title": "45 Why are German General Practitioners so little involved in ACP? A qualitative interview study protocol",
  "uid": "48626e15-6d2f-59a4-af89-e4daa8d1583a"
}