Next Article in Journal
Impact of Exercises and Chair Massage on Musculoskeletal Pain of Young Musicians
Next Article in Special Issue
Source of Social Support and Caregiving Self-Efficacy on Caregiver Burden and Patient’s Quality of Life: A Path Analysis on Patients with Palliative Care Needs and Their Caregivers
Previous Article in Journal
Food-Borne Disease Prevention and Risk Assessment
Previous Article in Special Issue
Examining the Gaps and Issues of End-of-Life Care among Older Population through the Lens of Socioecological Model—A Multi-Method Qualitative Study of Hong Kong
Open AccessArticle

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

1
The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
2
CUHK Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong, China
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(14), 5130; https://doi.org/10.3390/ijerph17145130
Received: 31 May 2020 / Revised: 6 July 2020 / Accepted: 6 July 2020 / Published: 16 July 2020
(This article belongs to the Special Issue Palliative and End-of-Life Care)
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. View Full-Text
Keywords: palliative care; end-of-life; health service; healthcare providers; qualitative palliative care; end-of-life; health service; healthcare providers; qualitative
Show Figures

Figure 1

MDPI and ACS Style

Wong, E. .-Y.; Kiang, N.; Chung, R. .-N.; Lau, J.; Chau, P. .-K.; Wong, S. .-S.; Woo, J.; Chan, E. .-Y.; Yeoh, E.-K. Quality of Palliative and End-Of-Life Care in Hong Kong: Perspectives of Healthcare Providers. Int. J. Environ. Res. Public Health 2020, 17, 5130.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop