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Advance Care Planning in Hong Kong
Carmen W H Chan1, Yong-Feng Chen1, Helen Y L Chan1
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Hong Kong excels in healthcare and life expectancy but struggles with end-of-life care quality. This study explores challenges in death-related communication and promotes advance care planning initiatives.
Area of Science:
- Public Health
- Gerontology
- Medical Ethics
Background:
- Hong Kong boasts the world's highest life expectancy due to advanced healthcare.
- Despite medical progress, end-of-life care quality in Hong Kong lags behind other high-income regions.
- Medical advancements may foster a 'death denial' culture, impeding end-of-life care discussions.
Purpose of the Study:
- To identify challenges in end-of-life care within Hong Kong.
- To explore the impact of public awareness and professional training on end-of-life care.
- To highlight local initiatives promoting advance care planning.
Main Methods:
- Qualitative analysis of existing literature and policy documents.
- Review of public health data and healthcare service reports.
- Case study of community-based advance care planning programs.
Main Results:
- Significant disparities exist between Hong Kong's overall healthcare quality and its end-of-life care standards.
- Inadequate public awareness and insufficient professional training are key barriers to effective end-of-life care.
- Community-led initiatives show promise in improving advance care planning and communication.
Conclusions:
- Addressing the 'death denial' culture is crucial for improving end-of-life care in Hong Kong.
- Enhanced public education and professional training are essential for promoting advance care planning.
- Continued support for local initiatives is vital for advancing end-of-life care standards.
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