End-of-life (EoL) mobile phone management in Hong Kong households

2017 ◽  
Vol 200 ◽  
pp. 22-28 ◽  
Author(s):  
Wen-Jing Deng ◽  
John P. Giesy ◽  
C.S. So ◽  
Hai-Long Zheng
Keyword(s):  
Hong Kong ◽  
Mobile Phone ◽  
End Of Life

scholarly journals Advance care planning preferences in Chinese nursing home residents: results from two cross-sectional studies in Hong Kong and Taiwan

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Xinyi Xu ◽  
Shu-Wen Tu ◽  
Chia-Chin Lin
Keyword(s):  
Hong Kong ◽  
Nursing Home ◽  
End Of Life ◽  
Advance Directive ◽  
End Of Life Care ◽  
Nursing Home Residents ◽  
Completion Rate ◽  
Life Care ◽  
Term Care

Abstract Background The proportion of hospital deaths has declined in the past few decades, while the proportions of nursing home deaths have increased. This trend of increasing deaths in long-term care facilities underlines the importance of improving end-of-life care provisions in these settings to meet individual preferences and needs. Under these circumstances, a comprehensive understanding of end-of-life care preferences in local nursing home residents can help healthcare professionals and policymakers develop strategies to increase the advance directive completion rate and quality of care. This study aimed to explore and compare advance directive and end-of-life care preferences of nursing home residents in Hong Kong and Taiwan. Methods A structured questionnaire was developed by the research team to investigate advance directive and end-of-life care preferences in older Chinese nursing home residents. Nursing home residents with frail or pre-frail status and over the age of 64 were invited to participate in the study, and information on demographics, functional status, advance directive experiences, and end-of-life care expectations was collected through questionnaire interviews. Results A total of 325 eligible participants from 32 facilities completed the survey, including 238 older residents in Hong Kong and 87 in Taiwan. A significantly lower proportion of the Hong Kong residents had completed an advance directive compared with the Taiwanese (3 vs. 13%, p = 0.001). Among participants who did not have an advance directive, 46% of the Taiwanese participants said they would consider completing one in the future, compared with 20% of the Hong Kong participants (p < 0.001). A total of 79% of the Hong Kong participants and 80% of the Taiwanese participants responded that prolonging life in the given hypothetical dying scenario was “not important” (p = 0.76). Only 14% of participants in Hong Kong and 18% of participants in Taiwan reported prior occurrence of end-of-life care discussions with family members or health professionals (p = 0.37). Conclusions This paper adds evidence in support of improving end-of-life communication and the advance directive completion rate in nursing homes in Hong Kong and Taiwan. Further research is necessary to explore cross-cultural differences in end-of-life preferences and its applications in predicting decision-making and the quality of end-of-life care.

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

2022 ◽  
Vol 19 (2) ◽  
pp. 667
Author(s):  
Helen Yue-Lai Chan ◽  
Cecilia Nim-Chee Chan ◽  
Chui-Wah Man ◽  
Alice Dik-Wah Chiu ◽  
Faith Chun-Fong Liu ◽  
...  
Keyword(s):  
Palliative Care ◽  
Hong Kong ◽  
End Of Life ◽  
Delphi Study ◽  
End Of Life Care ◽  
Care Home ◽  
Local Context ◽  
Life Care ◽  
Home Setting ◽  
Modified Delphi

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.

Healthcare inequalities in emergency visits and hospitalisation at the end of life: a study of 395 019 public hospital records

2021 ◽  
pp. bmjspcare-2020-002800
Author(s):  
Roger Yat-Nork Chung ◽  
Derek Chun Kiu Lai ◽  
Alvin Yik-Kiu Hui ◽  
Patsy Yuen-Kwan Chau ◽  
Eliza Lai-Yi Wong ◽  
...  
Keyword(s):  
Hong Kong ◽  
End Of Life ◽  
Hospital Admissions ◽  
Secondary Data ◽  
Public Hospitals ◽  
Emergency Visits ◽  
Elderly Home ◽  
Care Services ◽  
Lower Socioeconomic ◽  
Hospital Utilisation

ObjectivesTo investigate whether there were any socioeconomic disparities in utilisation of hospital care services during end of life in Hong Kong.MethodsSecondary data analyses were conducted using frequency of the accident and emergency (A&E) department visits and hospital admissions during the last year of life in all public hospitals from 2004 to 2014 in Hong Kong. A total of 1 237 044 A&E records from 357 853 patients, and 1 878 982 admission records from 375 506 patients were identified for analyses. In total, 395 019 unique deceased patients were identified from both datasets.ResultsRegression analyses showed that comprehensive social security assistance (CSSA) recipients used A&E services 1.29 times more than the non-recipients. Being either a CSSA recipient or an elderly home resident was more likely to be admitted to hospitals and stayed longer. Elderly home residents tended to stay longer than those from the community in the earlier months during the last year of life regardless of CSSA status; however, non-elderly home residents surpassed the residents in the duration of stay at hospitals towards the later months of the last year of life. There were also significant differences in hospital utilisation across various districts of residence.ConclusionsPeople of lower socioeconomic position tend to have higher emergency visits and hospitalisation during their last year of life in Hong Kong, implying the presence of health inequality during end of life. However, due to Hong Kong’s largely pro-rich primary care system, the predominantly public A&E and inpatient services may inadvertently act as a mitigator of such health inequalities.

Mobile Phone Communication Innovation in Multiple Time and Space Zones

2011 ◽  
pp. 479-484
Author(s):  
Shirley Chan
Keyword(s):  
Hong Kong ◽  
Mobile Phone ◽  
Phone Call ◽  
Multiple Time ◽  
Public Places ◽  
The World ◽  
Fast Pace ◽  
Paradox Theory ◽  
Deal Making ◽  
Mobile Phone Communication

In most parts of the world, it is generally considered impolite or even rude to pick up an incoming mobile phone call and to have a longer (and loud) conversation in public places. Yet this type of interruption is generally acceptable in Hong Kong. This inspired the authors to ask: How does Hong Kong culture impact the perception of mobile phone interruption? This research note is about an ethnographical study on the culture in Hong Kong indicating a more positive perception towards mobile phone interruption. Their research results show that the cultural characteristics of fast pace, deal-making and sense of urgency explain why Hong Kong people are receptive towards such interruption and have the habit of participating in both the physical and mobile spaces at the same time. Their findings also challenge the engaging-disengaging paradox theory - that is, mobile phone users find it difficult to simultaneously engage in parallel activities

End-of-life care research in Hong Kong: A systematic review of peer-reviewed publications

2015 ◽  
Vol 13 (6) ◽  
pp. 1711-1720 ◽  
Author(s):  
Chong-Wen Wang ◽  
Cecilia L.W. Chan
Keyword(s):  
Systematic Review ◽  
Hong Kong ◽  
End Of Life ◽  
Informal Caregivers ◽  
Physical Symptoms ◽  
Community Dwelling ◽  
Care Staff ◽  
Care Research ◽  
Research Themes ◽  
Eol Care

ABSTRACTObjective:This systematic review aimed to examine end-of-life (EoL) care research undertaken in an Eastern cultural context—Hong Kong—with the hope of better informing EoL care professionals and policy makers and providing lessons for other countries or areas that share similar EoL care challenges.Method:Eight databases were searched from their respective inception through to August of 2014. All of the resulting studies conducted in Hong Kong and relevant to EoL care or palliative care were examined. The included studies were assessed with respect to study design, care settings, participants, research themes, and major findings.Results:Some 107 publications published between 1991 and 2014 were identified. These studies were undertaken at a range of places by different professionals. Of the total, 44 were led by physicians, 36 by nurses, 17 by social workers, and 10 by other professionals. Participants included both inpatients and outpatients with different illnesses, nursing home residents, older community-dwelling adults, deceased individuals, care staff, and informal caregivers. A total of 13 research themes were identified: (1) attitudes to or perceptions of death and dying; (2) utilization of healthcare services, (3) physical symptoms or medical problems; (4) death anxiety or mental health issues; (5) quality of life; (6) advance directives or advance care planning; (7) supportive care needs, (8) decision making; (9) spirituality; (10) cost-effectiveness or utility studies; (11) care professionals' education and training; (12) informal caregivers' perceptions and experience; and (13) scale development or validation.Significance of results:While there has been a wide and diverse range of research activities in Hong Kong, EoL care services at primary care settings should be strengthened. Some priority areas for further research are recommended.

scholarly journals Promotion of End-of-Life Care in a Medical Ward - Hong Kong Experience

2018 ◽  
Vol 56 (6) ◽  
pp. e126
Author(s):  
Po Shan Ko ◽  
Tat Lam Shum ◽  
Siu Hing Wong ◽  
Ying Kwok ◽  
Kwok Ping Chan ◽  
...  
Keyword(s):  
Hong Kong ◽  
End Of Life ◽  
End Of Life Care ◽  
Medical Ward ◽  
Life Care

Characteristics and Outcomes of Patients Referred to an Emergency Department-Based End-of-Life Care Service in Hong Kong: A Retrospective Cohort Study

2020 ◽  
Vol 38 (1) ◽  
pp. 25-31
Author(s):  
Yat Chun Chan ◽  
Marc L. C. Yang ◽  
Hiu Fai Ho
Keyword(s):  
Emergency Department ◽  
Hong Kong ◽  
End Of Life ◽  
Care Service ◽  
Active Role ◽  
Emergency Physicians ◽  
Time To Death ◽  
Dying Patients ◽  
Eol Care ◽  
Mean Time

Background: This study describes the characteristics and outcomes of patients referred to an emergency department (ED)-based end-of-life (EOL) service in a tertiary acute hospital in Hong Kong. We examine how emergency physicians (EPs) perform in recognizing and managing dying patients. Methods: From September 2010 to April 2018, patients referred to this EOL service in this hospital were included. A group of 5 EPs assessed whether the referred patient would die within a few days. Dying patients (EOL group) were admitted to ED-based EOL service whereas those not likely dying within few days (non-EOL group) would continue management in respective specialty wards. Baseline characteristics of these 2 groups were compared. The time-to-death and use of opioids and anticholinergics were compared. Results: In total, 783 of 830 patients assessed were recognized as being in dying phase, with 688 admitted under ED-based EOL care. Their demographics and characteristics were described. Mean time from assessment to death (time-to-death) was significantly less in EOL group (38.93 hours) than in non-EOL group (250.36 hours; P = .004). Mean time-to-death was not significantly different between those under EP-based EOL service or not. The ED-based EOL care had significantly more patients receiving symptomatic treatment. Interpretation: The characteristics of patients under an ED-based EOL service are described. Emergency physicians are capable of recognizing dying patients. Emergency department-based EOL service does not alter the dying process and offers adequate palliation of symptoms. Emergency physician should assume a more active role in providing adequate EOL care to suitable patients.

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