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Article: Advance directive and preference of old age home residents for community model of end-of-life care in Hong Kong

TitleAdvance directive and preference of old age home residents for community model of end-of-life care in Hong Kong
Authors
Issue Date2011
Citation
Hong Kong Medical Journal, 2011, v. 17 n. 3, Suppl 3, p. 13-15 How to Cite?
Abstract
Key Messages: 1. Among 1600 cognitively normal elderly persons living in old age homes in Hong Kong, 88% preferred palliative treatments that could keep them comfortable and free from pain, and 88% agreed to have advance directives. Factors that favour having advance directives among Chinese elders included the practice of asking for relatives’ advice in medical decisions, wishing to be informed of their terminal illness diagnoses, absence of a stroke history, and having no problems in self-care. 2. Approximately one third of old age home residents would accept dying in place. Older age, religion (Catholic or non-believer of traditional Chinese religion), having a better mood score (Geriatric Depression Scale), having no siblings, not receiving an old age allowance, and being a resident of subvented old age homes were independent predictors of preference for community end-of-life care and dying in place. 3. End-of-life care in the hospital was expensive. The total bed-day costs for the 2084 deaths in the two clusters for the index death episode, cumulative 3, 6, and 12 months of hospitalisation were HK$65 474 591, HK$82 543 510, HK$100 170 949, and HK$108 960 348, respectively. The annual cost-savings in hospitalisation bed-days would be HK$177 million when about 30% of elders accepted dying in their old age homes. 4. Elderly residents were willing to pay an additional fee for community end-of-life care services in old age homes. Both the services of the doctor and old age home staff were important attributes. Hence, elderly people were prepared to use more community end-of-life care if better staff and doctor services were provided.
DescriptionAuthor Chinese names: 朱亮榮, 麥潔儀, 駱駱虹, 郭志銳, 許鷗思, 李德誠, 李子芬, 胡令芳
Persistent Identifierhttp://hdl.handle.net/10722/137608

 

DC FieldValueLanguage
dc.contributor.authorChu, LWen_US
dc.contributor.authorMcGhee, SMen_US
dc.contributor.authorLuk, JKHen_US
dc.contributor.authorKwok, Ten_US
dc.contributor.authorHui, Een_US
dc.contributor.authorChiu, PKCen_US
dc.contributor.authorLee, DTFen_US
dc.contributor.authorWoo, Jen_US
dc.date.accessioned2011-08-26T14:29:01Z-
dc.date.available2011-08-26T14:29:01Z-
dc.date.issued2011en_US
dc.identifier.citationHong Kong Medical Journal, 2011, v. 17 n. 3, Suppl 3, p. 13-15en_US
dc.identifier.urihttp://hdl.handle.net/10722/137608-
dc.descriptionAuthor Chinese names: 朱亮榮, 麥潔儀, 駱駱虹, 郭志銳, 許鷗思, 李德誠, 李子芬, 胡令芳zh_HK
dc.description.abstractKey Messages: 1. Among 1600 cognitively normal elderly persons living in old age homes in Hong Kong, 88% preferred palliative treatments that could keep them comfortable and free from pain, and 88% agreed to have advance directives. Factors that favour having advance directives among Chinese elders included the practice of asking for relatives’ advice in medical decisions, wishing to be informed of their terminal illness diagnoses, absence of a stroke history, and having no problems in self-care. 2. Approximately one third of old age home residents would accept dying in place. Older age, religion (Catholic or non-believer of traditional Chinese religion), having a better mood score (Geriatric Depression Scale), having no siblings, not receiving an old age allowance, and being a resident of subvented old age homes were independent predictors of preference for community end-of-life care and dying in place. 3. End-of-life care in the hospital was expensive. The total bed-day costs for the 2084 deaths in the two clusters for the index death episode, cumulative 3, 6, and 12 months of hospitalisation were HK$65 474 591, HK$82 543 510, HK$100 170 949, and HK$108 960 348, respectively. The annual cost-savings in hospitalisation bed-days would be HK$177 million when about 30% of elders accepted dying in their old age homes. 4. Elderly residents were willing to pay an additional fee for community end-of-life care services in old age homes. Both the services of the doctor and old age home staff were important attributes. Hence, elderly people were prepared to use more community end-of-life care if better staff and doctor services were provided.-
dc.languageengen_US
dc.relation.ispartofHong Kong Medical Journalen_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleAdvance directive and preference of old age home residents for community model of end-of-life care in Hong Kongen_US
dc.typeArticleen_US
dc.identifier.emailChu, LW: lwchu@hkucc.hku.hken_US
dc.identifier.emailMcGhee, SM: smmcghee@hkucc.hku.hken_US
dc.identifier.authorityMcGhee, S=rp00393en_US
dc.description.naturepublished_or_final_versionen_US
dc.identifier.hkuros189171en_US
dc.identifier.volume17en_US
dc.identifier.issue3, Suppl 3en_US
dc.identifier.spage13en_US
dc.identifier.epage15en_US

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