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Key Components for the Delivery of Palliative and End-of-Life Care in Care Homes in Hong Kong: A Modified Delphi Study

Author

Listed:
  • Helen Yue-Lai Chan

    (The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China)

  • Cecilia Nim-Chee Chan

    (The Hong Kong Association of Gerontology, Hong Kong SAR, China)

  • Chui-Wah Man

    (The Hong Kong Association of Gerontology, Hong Kong SAR, China)

  • Alice Dik-Wah Chiu

    (The Hong Kong Association of Gerontology, Hong Kong SAR, China)

  • Faith Chun-Fong Liu

    (The Hong Kong Association of Gerontology, Hong Kong SAR, China)

  • Edward Man-Fuk Leung

    (The Hong Kong Association of Gerontology, Hong Kong SAR, China)

Abstract

Integrating the palliative care approach into care home service to address the complex care needs of older adults with frailty or advanced diseases has been increasingly recognized. However, such a service is underdeveloped in Hong Kong owing to socio-cultural and legal concerns. We adopted a modified Delphi study design to identify the key components for the delivery of palliative and end-of-life care in care home settings for the local context. It was an iterative staged method to assimilate views of experts in aged care, palliative care, and care home management. A multidisciplinary expert panel of 18 members consented to participate in the study. They rated their level of agreement with 61 candidate statements identified through a scoping review in two rounds of anonymous surveys. The steering group revised the statements in light of the survey findings. Eventually, the finalized list included 28 key statements concerning structure and process of care in seven domains, namely policy and infrastructure, education, assessment, symptom management, communication, care for dying patients, and family support. The findings of this study underscored concerns regarding the feasibility of statements devised at different levels of palliative care development. This list would be instrumental for regions where the development of palliative and end-of-life care services in care home setting is at an initial stage.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:667-:d:719860
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    References listed on IDEAS

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    1. 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.
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    Cited by:

    1. Laura Llop-Medina & Yu Fu & Jorge Garcés-Ferrer & Ascensión Doñate-Martínez, 2022. "Palliative Care in Older People with Multimorbidities: A Scoping Review on the Palliative Care Needs of Patients, Carers, and Health Professionals," IJERPH, MDPI, vol. 19(6), pages 1-14, March.

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