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

Helen Yue-Lai Chan, Cecilia Nim-Chee Chan, Chui-Wah Man, Alice Dik-Wah Chiu, Faith Chun-Fong Liu and Edward Man-Fuk Leung
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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

IJERPH, 2022, vol. 19, issue 2, 1-9

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.

Keywords: palliative care; end of life; long-term care; older adults; residential care home; quality of care; service development (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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