Status quo of palliative care service provision and influencing factors in Shanghai communities
10.3760/cma.j.cn114798-20250314-00221
- VernacularTitle:上海市社区安宁疗护服务提供现状及影响因素分析
- Author:
Fulan WANG
1
;
Chao YANG
;
Dong WANG
;
Shuijing LI
;
Tao LIU
Author Information
1. 上海市徐汇区枫林街道社区卫生服务中心，上海 200030
- Publication Type:Journal Article
- Keywords:
Community health centers;
Hospice care;
Service quality;
Status quo
- From:
Chinese Journal of General Practitioners
2025;24(6):707-712
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To survey the status quo of the provision of palliative care services by community health service centers in Shanghai and to investigate the related influencing factors.Methods:This was a cross-sectional survey. The status quo of the provision of palliative care services in all community health service centers (249 in total) in 16 districts of Shanghai were surveyed in December 2022. The Evaluation Form for the Quality Management of Hospice Care Work in Shanghai Community Health Service Center was used for survey, which included basic information, talent team, related department, medical services, research and training, and health education, etc. The data were collected up to November 30, 2022. The 16 districts were divided into three areas: central city (80 centers), suburb (92 centers) and exurb (77 centers). The scores of different districts were compared and the influencing factors were analyzed.Results:The average self-evaluation score of community hospice care service in 16 districts was 69.42 points. Changning District in the central city had the highest self-evaluation score (87.32 points) and Fengxian District in the exurb had the lowest self-evaluation score (44.59 points). The total scores of hospice service in central urban area and suburban area [(73.99±16.96) and (75.61±10.69) points] were higher than those in the exurbs [(56.81±20.82) points], and the scores in central urban area and suburban area were also higher than those in the exurbs ( P<0.05). Multivariate regression analysis showed that the community location, the registration status of hospice department, inpatient ward facilities, and availability of hospice information platform were independent influencing factors of community self-rating scores ( P<0.05). Conclusion:Hospice care services have been fully covered in Shanghai community health service centers, and the current situation of community hospice care services in the central city and the suburbs is better than that in the exurbs.
