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Quality of Palliative and End-Of-Life Care in Hong Kong: Perspectives of Healthcare Providers

Author

Listed:
  • Eliza Lai-Yi Wong

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

  • Nicole Kiang

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

  • Roger Yat-Nork Chung

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

  • Janice Lau

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

  • Patsy Yuen-Kwan Chau

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

  • Samuel Yeung-Shan Wong

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

  • Jean Woo

    (CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong, China)

  • Emily Ying-Yang Chan

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

  • Eng-Kiong Yeoh

    (The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China)

Abstract

Background: In response to population aging, there is a need for health systems to focus on care for chronic disease, specifically palliative care, while focusing on people-centered care. The objective of this study is to explore the healthcare system enablers and barriers to the provision of quality palliative and end-of-life care from the perspective of healthcare professionals. Materials and Methods: Using purposive sampling, fifteen focus group interviews and nine individual interviews involving 72 healthcare providers were conducted. Primary qualitative data were collected between May 2016 and July 2017. All recorded discussions were transcribed verbatim and analyzed. A thematic framework was developed. Results: The provision of quality palliative and end-of-life care is influenced by the interaction and integration of nine sub-themes under four identified themes: (1) political context; (2) organization setting; (3) support to patients, caregivers, and family members, and (4) healthcare workers and the public. Conclusions: Integration of palliative and end-of-life care is an important pillar of healthcare service to improve quality of life by addressing patients’ values, wishes and preference, and assist their family to handle challenges at the end stage of life. Further improvements to the service framework would be required, specifically in the political framework, multidisciplinary approach, and readiness and competence in healthcare workers and community. These were highlighted in our study as key components in service provision to ensure that patients can receive continuous and integrated care between hospitals and the community as well as dignified care at the end stage of life.

Suggested Citation

  • Eliza Lai-Yi Wong & Nicole Kiang & Roger Yat-Nork Chung & Janice Lau & Patsy Yuen-Kwan Chau & Samuel Yeung-Shan Wong & Jean Woo & Emily Ying-Yang Chan & Eng-Kiong Yeoh, 2020. "Quality of Palliative and End-Of-Life Care in Hong Kong: Perspectives of Healthcare Providers," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5130-:d:385202
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    References listed on IDEAS

    as
    1. Carmen WH Chan & Ying Yu Chui & Sek Ying Chair & Michael MK Sham & Raymond SK Lo & Catalina SM Ng & Helen YL Chan & David CY Lai, 2014. "The evaluation of a palliative care programme for people suffering from life‐limiting diseases," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(1-2), pages 113-123, January.
    2. Barbara A Jack & Mary R O'Brien & Joyce Scrutton & Catherine R Baldry & Karen E Groves, 2015. "Supporting family carers providing end‐of‐life home care: a qualitative study on the impact of a hospice at home service," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 131-140, January.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Eliza Lai-Yi Wong & Janice Ying-Chui Lau & Patsy Yuen-Kwan Chau & Roger Yat-Nork Chung & Samuel Yeung-Shan Wong & Jean Woo & Eng-Kiong Yeoh, 2022. "Caregivers’ Experience of End-of-Life Stage Elderly Patients: Longitudinal Qualitative Interview," IJERPH, MDPI, vol. 19(4), pages 1-12, February.
    2. Helen Yue-Lai Chan & Cecilia Nim-Chee Chan & Chui-Wah Man & Alice Dik-Wah Chiu & Faith Chun-Fong Liu & Edward Man-Fuk Leung, 2022. "Key Components for the Delivery of Palliative and End-of-Life Care in Care Homes in Hong Kong: A Modified Delphi Study," IJERPH, MDPI, vol. 19(2), pages 1-9, January.
    3. Amy Mei-Yin Lau & Eliza Lai-Yi Wong, 2022. "Attitude towards Euthanasia among Medical Students: A Cross-Sectional Study in Hong Kong," IJERPH, MDPI, vol. 19(13), pages 1-11, June.
    4. Doris Y. P. Leung & Helen Y. L. Chan, 2020. "Palliative and End-of-Life Care: More Work is Required," IJERPH, MDPI, vol. 17(20), pages 1-7, October.
    5. Genevieve Ataa Fordjour & Amy Yin Man Chow, 2022. "Global Research Trend and Bibliometric Analysis of Current Studies on End-of-Life Care," IJERPH, MDPI, vol. 19(18), pages 1-13, September.
    6. Meira Erel & Esther-Lee Marcus & Samuel N. Heyman & Freda DeKeyser Ganz, 2022. "Do Perceptions about Palliative Care Affect Emergency Decisions of Health Personnel for Patients with Advanced Dementia?," IJERPH, MDPI, vol. 19(16), pages 1-15, August.

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