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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.
Chan et al. (Tue,) studied this question.