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

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 modifi...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-01, Vol.19 (2), p.667
Main Authors: Chan, Helen Yue-Lai, Chan, Cecilia Nim-Chee, Man, Chui-Wah, Chiu, Alice Dik-Wah, Liu, Faith Chun-Fong, Leung, Edward Man-Fuk
Format: Article
Language:English
Subjects:
Aged
Agreements
Delphi method
Delphi Technique
Elder care
End of life
Hong Kong
Hospice Care
Humans
Long term health care
Nursing homes
Older people
Palliative Care
Polls & surveys
Public opinion surveys
Quality of care
Questionnaires
Terminal Care
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Summary: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.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19020667