Quality of palliative and end-of-life care in Hong Kong: Perspectives of healthcare providers

ELY Wong, N Kiang, RYN Chung, J Lau… - International Journal of …, 2020 - mdpi.com
ELY Wong, N Kiang, RYN Chung, J Lau, PYK Chau, SYS Wong, J Woo, EYY Chan…
International Journal of Environmental Research and Public Health, 2020mdpi.com
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 …
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.
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