Cheng Hui-Lin, Leung Doris Yin Ping, Chung Ming Wai, Ko Po Shan
School of Nursing, 26680The Hong Kong Polytechnic University, Hong Kong.
Nursing Services Division, 26680United Christian Hospital, Hong Kong.
J Palliat Care. 2023 Apr;38(2):101-110. doi: 10.1177/08258597221125285. Epub 2022 Sep 15.
To analyze the nature and types of community palliative and end-of-life care (PEoLC) services in Hong Kong in order to inform future service development.
This cross-sectional descriptive study systematically searched the eligible websites of service providers concerning community PEoLC services for patients and their family caregivers using the Hong Kong version of the Google Search engine in August 2021. Search terms included different traditional Chinese translations of palliative care, end-of- lifecare, and hospice care. For the included websites, information regarding the characteristics and types of PEoLC services were extracted and coded using content analysis.
Sixteen websites providing community PEoLC services were included in this analysis, which were almost all provided by non-governmental organizations (NGOs). Around half of the service providers targeted the geriatric group and served the population in some major geographic areas and districts only. Ten types of services were identified, including (1) information and advice; (2) psychological support; (3) dying and bereavement care; (4) spiritual support; (5) medical and nursing care; (6) leisure and social well-being activities; (7) support with household and other practical tasks; (8) referral resources; (9) financial support; and (10) caregiving skills training.
Existing community PEoLC services in Hong Kong are provided mainly by NGOs, with a focus on comprehensive care for patients in some areas and districts but few support services for caregivers. There is a need for continued efforts to optimize the PEoLC services to support patients and caregivers locally.
分析香港社区姑息治疗及临终关怀服务（PEoLC）的性质和类型，为未来服务发展提供参考。
这项横断面描述性研究于2021年8月使用谷歌香港版搜索引擎，系统搜索了服务提供者关于社区PEoLC服务的合格网站，面向患者及其家庭照顾者。搜索词包括姑息治疗、临终关怀和安宁疗护的不同中文翻译。对于纳入的网站，使用内容分析法提取并编码有关PEoLC服务特征和类型的信息。
本分析纳入了16个提供社区PEoLC服务的网站，几乎全部由非政府组织（NGO）提供。约一半的服务提供者以老年群体为目标，仅在一些主要地理区域和地区为人群提供服务。确定了10种服务类型，包括（1）信息与建议；（2）心理支持；（3）临终及丧亲照护；（4）精神支持；（5）医疗护理；（6）休闲与社会福祉活动；（7）家务及其他实际任务支持；（8）转介资源；（9）经济支持；（10）照护技能培训。
香港现有的社区PEoLC服务主要由非政府组织提供，侧重于某些地区对患者的综合照护，但对照顾者的支持服务较少。有必要持续努力优化PEoLC服务，以在当地支持患者和照顾者。
