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

International Journal of Environmental Research and Public Health
Roger Yat-Nork ChungEliza Lai-Yi Wong

Abstract

End-of-life (EOL) care for terminal illness and life-limiting conditions is a sector in the health service spectrum that is drawing increased attention. Despite having the world's longest life expectancy and an ever-escalating demand for long-term care, Hong Kong's EOL care was underdeveloped. The current study aims to provide a holistic picture of gaps and issues to EOL care in Hong Kong. Data collection was conducted using a multi-method qualitative approach that included focus groups and in-depth interviews with key informants and stakeholders, and longitudinal case studies with patients and families. Deductive thematic analysis was used to examine service gaps in current EOL care through the lens of a socioecological model where gaps and issues in various nested, hierarchical levels of care as well as the relationships between these levels were studied in detail. Using the model, we identified gaps and issues of EOL care among older populations in Hong Kong at the policy, legal, community, institutional, as well as intrapersonal and interpersonal levels. These include but are not limited to a lack of overarching EOL care policy framework, ambiguity in the legal basis for mental incapacity, legislative barriers for advance d...Continue Reading

References

Jan 1, 1988·Health Education Quarterly·K R McLeroyK Glanz
Aug 5, 2008·Clinical Journal of Oncology Nursing·Linda S Wasserman
Feb 19, 2009·International Journal of Clinical Practice·R Al-QurainyD Feuer
Sep 25, 2009·BMC Health Services Research·Roger Y ChungGabriel M Leung
Feb 19, 2010·Social Science & Medicine·Donna Goodridge
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
Nov 13, 2012·Nursing Outlook·Deborah P Waldrop, Mary Ann Meeker
Aug 13, 2013·Health Policy·Peter MayMary McCarron
Oct 2, 2013·QJM : Monthly Journal of the Association of Physicians·Allan Kellehear
Mar 7, 2014·Journal of the American Medical Directors Association·Carmen H M HoubenDaisy J A Janssen
Mar 22, 2014·Palliative Medicine·Arianne Brinkman-StoppelenburgAgnes van der Heide
Mar 16, 2016·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Emily A MeierDilip V Jeste
Jun 18, 2017·Journal of the American Medical Directors Association·Diane Erin ThreapletonEng Kiong Yeoh
Dec 29, 2017·Journal of Palliative Medicine·R Sean Morrison
Apr 28, 2018·The International Journal of Health Planning and Management·Janice Ying-Chui LauEng-Kiong Yeoh
Dec 28, 2019·International Journal of Environmental Research and Public Health·Helen Y L ChanJean Woo

❮ Previous
Next ❯

Citations

Jul 28, 2020·International Journal of Environmental Research and Public Health·Eliza Lai-Yi WongEng-Kiong Yeoh
Oct 18, 2020·International Journal of Environmental Research and Public Health·Doris Y P Leung, Helen Y L Chan

❮ Previous
Next ❯

Software Mentioned

NEAT

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pediatrics International : Official Journal of the Japan Pediatric Society
Yusuke SeinoTakehiro Niitsu
Handbook of Clinical Neurology
Johan A F KoekkoekMartin J B Taphoorn
Canadian Respiratory Journal : Journal of the Canadian Thoracic Society
Benjamin TamAlison Fox-Robichaud
© 2021 Meta ULC. All rights reserved