A home-based palliative care service in Hong Kong: supporting patients and family caregivers’ provision of end-of-life care

This study examined the effectiveness of a home-based palliative care (HBPC) service in Hong Kong for patients and family caregivers. A quantitative research design was adopted. Patient outcomes measured by the IPOS were assessed (admission, 4 weeks, and 8 weeks). Family caregivers completed questionnaires rating their perception of end-of-life care provision, emotional distress, and adequacy of support before and after service use. Ninety-five patients participated, showing significant improvements in patient outcomes, as demonstrated by the decrease in total IPOS scores over time (F (1.55, 41.85) = 11.14, p < .001). Physical symptoms did not deteriorate, indicating effective symptom management. Among 109 family caregivers, significant changes included a stronger desire for home death, reduced perceived difficulty, and increased confidence in providing end-of-life care at home. Their emotional distress decreased significantly. This study provides preliminary evidence of benefits for both patients and family caregivers, highlighting the important role of HBPC services.