SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China

Mei Xu; Han Xingping; Zhang Jing; Zhang Tingting; Qiu Fang; Yin Aini; Liu Mengjie

doi:doi:10.11648/j.jfmhc.20210701.14

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SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China

Mei Xu, Han Xingping, Zhang Jing, Zhang Tingting, Qiu Fang, Yin Aini, Liu Mengjie

Published in Journal of Family Medicine and Health Care (Volume 7, Issue 1)

Received: 3 March 2021 Accepted: 19 March 2021 Published: 30 March 2021

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Abstract

Due to the influence of various factors, the development of hospice care in China is very slow, and the quality of life while dying in patients with critical illness is low. At present, the management of chronic diseases under the hierarchical medical system has achieved good results in China, but to date, there is no report on the implementation of hospice care services under the hierarchical medical system. The purpose of this study is to explore the strengths, weaknesses, opportunities, and threats (SWOT) of establishing a "hospital-community- home" linked hospice care demonstration center under the hierarchical medical system in Southwest China. Based on the baseline survey, the SWOT analysis method was used for analysis. In all, there are 26 medical institutions of different levels, including 440 medical staff and 650 community-dwelling elderly take part in the quantitative research, and 24 related professionals participated in the panel discussion. We came to the conclusion that under the hierarchical medical system, a "hospital-community-home" linked hospice care demonstration center has the following opportunities when initiating hospice care activities in Southwest China: effective integration of resources, diversification of demand, policy support, positive attitude of medical staffs, etc. However, the lack of laws and regulations, the imperfect social security system, the lack of public awareness, and the lack of institutional operation and certification standards of practitioners are challenges when building such centers.

Published in	Journal of Family Medicine and Health Care (Volume 7, Issue 1)
DOI	10.11648/j.jfmhc.20210701.14
Page(s)	19-25
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hospice Care, Quality of Life, Aging Situation, Hospice Care Model, SWOT

References

[1]	Luckett T, Phillips J, Agar M, et al. Elements of effective palliative care models: a rapid review. BMC Health Services Research 2014; 14: 136-157.
[2]	Ye G, Mao J, Hu J, et al. Palliative care medical student education: a cross-sectional medical school survey in mainland China. BMJ Support Palliat Care 2019 Nov 29: bmjspcare-2019-002044.
[3]	Wang T, Molassiotis A, Chung BPM, et al. Current Research Status of Palliative Care in Mainland China. J Palliat Care 2018; 33: 215-241.
[4]	Yin Z, Li J, Ma K, et al. Development of Palliative Care in China: A Tale of Three Cities. Oncologist 2017; 22: 1362-1367.
[5]	Unit TEI. Quality of death index 2015, ranking palliative care across the world, (2015, accessed August 25 2020).
[6]	Hu K and Feng D. Barriers in palliative care in China. The Lancet 2016; 387.
[7]	China NHAFPCOTPSRO. Notice on printing and distributing Practice Guide for hospice care (Trial), (2017, accessed August 5th 2020).
[8]	China NHAFPCOTPSRO. Notice on printing and distributing basic standards and management norms (Trial) of hospice care centers, (2017, accessed August 25th 2020).
[9]	Li J, Davis MP and Gamier P. Palliative medicine: barriers and developments in mainland China. Curr Oncol Rep 2011; 13: 290-294.
[10]	P GOOTSC. Guiding opinions on promoting the construction of hierarchical diagnosis and treatment system, (2015, accessed August 25th 2020).
[11]	Xue-Juan W, Hao W, Cai-Ying G, et al. Impact of an intelligent chronic disease management system on patients with type 2 diabetes mellitus in a Beijing community. BMC Health Serv Res 2018; 18: 821.
[12]	Nwosu AC, Sturgeon B, McGlinchey T, et al. Robotic technology for palliative and supportive care: Strengths, weaknesses, opportunities and threats. Palliat Med 2019; 33: 1106-1113.
[13]	Gu X, Cheng W, Cheng M, et al. The preference of place of death and its predictors among terminally ill patients with cancer and their caregivers in China. Am J Hosp Palliat Care 2015; 32: 835-840.
[14]	Ohlen J, Cohen J and Hakanson C. Determinants in the place of death for people with different cancer types: a national population-based study. Acta Oncol 2017; 56: 455-461.
[15]	Shi H, Shan B, Zheng J, et al. Knowledge and attitudes toward end-of-life care among community health care providers and its influencing factors in China: A cross-sectional study. Medicine (Baltimore) 2019; 98: e17683.
[16]	Jiang Q, Lu Y, Ying Y, et al. Attitudes and knowledge of undergraduate nursing students about palliative care: An analysis of influencing factors. Nurse Educ Today 2019; 80: 15-21.
[17]	Vu HTT, Nguyen LH, Nguyen TX, et al. Knowledge and Attitude Toward Geriatric Palliative Care among Health Professionals in Vietnam. Int J Environ Res Public Health 2019; 16: 2656.
[18]	Organization WH. Ageing and health, (2018, accessed August 25th 2020).
[19]	P NBOS. Statistical bulletin of national economic and social development in 2018, (2019, accessed August 25th 2020).
[20]	Xiong Z. Challenges and Countermeasures to prevent and treat chronic diseases in China. Chinese Journal of Prevention and Control of Chronic Diseases 2019; 09: 720-721.
[21]	China SCotPsRo. "healthy China 2030" Guidelines, (2016, accessed August 25th 2020).
[22]	China SCotPsRo. opinions of the General Office of the State Council on promoting the development of elderly care services, (2019, accessed August 14th 2020).
[23]	Li S, Ding S and Li X-e. Re-understanding and prospective thinking of palliative care. Chinese Journal of Modern Nursing 2015; 07: 863-865.
[24]	Wu B. Discussion on the present situation and co-illumination mode of hospice care service for tumor in Nanjing. Nanjing University, 2019.
[25]	Liang Y and Zhang N. Thoughts and reference of foreign healthcare system in completing hierarchical hospital visit system. Chinese Hospitals 2015; 08: 50-52.
[26]	Deng F. Learn from The Japanese medical model to alleviate the "difficult to see a doctor" problem. Today Nurse 2012; 03: 185-186.
[27]	Association CLC. Data collection of national Hospice care pilot Areas. 2019.
[28]	Ventafridda V. According to the 2002 WHO definition of palliative care. Palliat Med 2006; 20: 159.
[29]	Washington KT, Alaniz Staner LM, Collie BE, et al. Toward a Practice-Informed Agenda for Hospice Intervention Research: What Are Staff Members' Biggest Challenges? Am J Hosp Palliat Care August 2020.
[30]	Li Y and Huang H. SWOT Analysis and Reflection Community Hospice Care Mode. Chinese Medical Ethics 2015; 2: 178-180.
[31]	Tian F. SWOT Analysis of the Development of "Internet + Hospice Care" Under the Background of Smart Medical Treatment. Continuing Medical Education 2019; 02: 82-84.

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APA Style

Mei Xu, Han Xingping, Zhang Jing, Zhang Tingting, Qiu Fang, et al. (2021). SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China. Journal of Family Medicine and Health Care, 7(1), 19-25. https://doi.org/10.11648/j.jfmhc.20210701.14

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ACS Style

Mei Xu; Han Xingping; Zhang Jing; Zhang Tingting; Qiu Fang, et al. SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China. J. Fam. Med. Health Care 2021, 7(1), 19-25. doi: 10.11648/j.jfmhc.20210701.14

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AMA Style

Mei Xu, Han Xingping, Zhang Jing, Zhang Tingting, Qiu Fang, et al. SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China. J Fam Med Health Care. 2021;7(1):19-25. doi: 10.11648/j.jfmhc.20210701.14

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@article{10.11648/j.jfmhc.20210701.14,
  author = {Mei Xu and Han Xingping and Zhang Jing and Zhang Tingting and Qiu Fang and Yin Aini and Liu Mengjie},
  title = {SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China},
  journal = {Journal of Family Medicine and Health Care},
  volume = {7},
  number = {1},
  pages = {19-25},
  doi = {10.11648/j.jfmhc.20210701.14},
  url = {https://doi.org/10.11648/j.jfmhc.20210701.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20210701.14},
  abstract = {Due to the influence of various factors, the development of hospice care in China is very slow, and the quality of life while dying in patients with critical illness is low. At present, the management of chronic diseases under the hierarchical medical system has achieved good results in China, but to date, there is no report on the implementation of hospice care services under the hierarchical medical system. The purpose of this study is to explore the strengths, weaknesses, opportunities, and threats (SWOT) of establishing a "hospital-community- home" linked hospice care demonstration center under the hierarchical medical system in Southwest China. Based on the baseline survey, the SWOT analysis method was used for analysis. In all, there are 26 medical institutions of different levels, including 440 medical staff and 650 community-dwelling elderly take part in the quantitative research, and 24 related professionals participated in the panel discussion. We came to the conclusion that under the hierarchical medical system, a "hospital-community-home" linked hospice care demonstration center has the following opportunities when initiating hospice care activities in Southwest China: effective integration of resources, diversification of demand, policy support, positive attitude of medical staffs, etc. However, the lack of laws and regulations, the imperfect social security system, the lack of public awareness, and the lack of institutional operation and certification standards of practitioners are challenges when building such centers.},
 year = {2021}
}

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TY  - JOUR
T1  - SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China
AU  - Mei Xu
AU  - Han Xingping
AU  - Zhang Jing
AU  - Zhang Tingting
AU  - Qiu Fang
AU  - Yin Aini
AU  - Liu Mengjie
Y1  - 2021/03/30
PY  - 2021
N1  - https://doi.org/10.11648/j.jfmhc.20210701.14
DO  - 10.11648/j.jfmhc.20210701.14
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 19
EP  - 25
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20210701.14
AB  - Due to the influence of various factors, the development of hospice care in China is very slow, and the quality of life while dying in patients with critical illness is low. At present, the management of chronic diseases under the hierarchical medical system has achieved good results in China, but to date, there is no report on the implementation of hospice care services under the hierarchical medical system. The purpose of this study is to explore the strengths, weaknesses, opportunities, and threats (SWOT) of establishing a "hospital-community- home" linked hospice care demonstration center under the hierarchical medical system in Southwest China. Based on the baseline survey, the SWOT analysis method was used for analysis. In all, there are 26 medical institutions of different levels, including 440 medical staff and 650 community-dwelling elderly take part in the quantitative research, and 24 related professionals participated in the panel discussion. We came to the conclusion that under the hierarchical medical system, a "hospital-community-home" linked hospice care demonstration center has the following opportunities when initiating hospice care activities in Southwest China: effective integration of resources, diversification of demand, policy support, positive attitude of medical staffs, etc. However, the lack of laws and regulations, the imperfect social security system, the lack of public awareness, and the lack of institutional operation and certification standards of practitioners are challenges when building such centers.
VL  - 7
IS  - 1
ER  -

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Author Information

Mei Xu

School of Nursing, The Southwest Medical University, Luzhou, China.
Han Xingping

Department of Oncology, The Affiliated Hospital of Southwest Medical University, Luzhou, China
Zhang Jing

Department of Thoracic Surgery, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China
Zhang Tingting

School of Nursing, The Southwest Medical University, Luzhou, China.
Qiu Fang

School of Nursing, The Southwest Medical University, Luzhou, China.
Yin Aini

School of Nursing, The Southwest Medical University, Luzhou, China.
Liu Mengjie

School of Nursing, The Southwest Medical University, Luzhou, China

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APA Style

Mei Xu, Han Xingping, Zhang Jing, Zhang Tingting, Qiu Fang, et al. (2021). SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China. Journal of Family Medicine and Health Care, 7(1), 19-25. https://doi.org/10.11648/j.jfmhc.20210701.14

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ACS Style

Mei Xu; Han Xingping; Zhang Jing; Zhang Tingting; Qiu Fang, et al. SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China. J. Fam. Med. Health Care 2021, 7(1), 19-25. doi: 10.11648/j.jfmhc.20210701.14

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AMA Style

Mei Xu, Han Xingping, Zhang Jing, Zhang Tingting, Qiu Fang, et al. SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China. J Fam Med Health Care. 2021;7(1):19-25. doi: 10.11648/j.jfmhc.20210701.14

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@article{10.11648/j.jfmhc.20210701.14,
  author = {Mei Xu and Han Xingping and Zhang Jing and Zhang Tingting and Qiu Fang and Yin Aini and Liu Mengjie},
  title = {SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China},
  journal = {Journal of Family Medicine and Health Care},
  volume = {7},
  number = {1},
  pages = {19-25},
  doi = {10.11648/j.jfmhc.20210701.14},
  url = {https://doi.org/10.11648/j.jfmhc.20210701.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20210701.14},
  abstract = {Due to the influence of various factors, the development of hospice care in China is very slow, and the quality of life while dying in patients with critical illness is low. At present, the management of chronic diseases under the hierarchical medical system has achieved good results in China, but to date, there is no report on the implementation of hospice care services under the hierarchical medical system. The purpose of this study is to explore the strengths, weaknesses, opportunities, and threats (SWOT) of establishing a "hospital-community- home" linked hospice care demonstration center under the hierarchical medical system in Southwest China. Based on the baseline survey, the SWOT analysis method was used for analysis. In all, there are 26 medical institutions of different levels, including 440 medical staff and 650 community-dwelling elderly take part in the quantitative research, and 24 related professionals participated in the panel discussion. We came to the conclusion that under the hierarchical medical system, a "hospital-community-home" linked hospice care demonstration center has the following opportunities when initiating hospice care activities in Southwest China: effective integration of resources, diversification of demand, policy support, positive attitude of medical staffs, etc. However, the lack of laws and regulations, the imperfect social security system, the lack of public awareness, and the lack of institutional operation and certification standards of practitioners are challenges when building such centers.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - SWOT Analysis on the Construction of Hospice Care Demonstration Center Under the Hierarchical Medical System in Southwest China
AU  - Mei Xu
AU  - Han Xingping
AU  - Zhang Jing
AU  - Zhang Tingting
AU  - Qiu Fang
AU  - Yin Aini
AU  - Liu Mengjie
Y1  - 2021/03/30
PY  - 2021
N1  - https://doi.org/10.11648/j.jfmhc.20210701.14
DO  - 10.11648/j.jfmhc.20210701.14
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 19
EP  - 25
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20210701.14
AB  - Due to the influence of various factors, the development of hospice care in China is very slow, and the quality of life while dying in patients with critical illness is low. At present, the management of chronic diseases under the hierarchical medical system has achieved good results in China, but to date, there is no report on the implementation of hospice care services under the hierarchical medical system. The purpose of this study is to explore the strengths, weaknesses, opportunities, and threats (SWOT) of establishing a "hospital-community- home" linked hospice care demonstration center under the hierarchical medical system in Southwest China. Based on the baseline survey, the SWOT analysis method was used for analysis. In all, there are 26 medical institutions of different levels, including 440 medical staff and 650 community-dwelling elderly take part in the quantitative research, and 24 related professionals participated in the panel discussion. We came to the conclusion that under the hierarchical medical system, a "hospital-community-home" linked hospice care demonstration center has the following opportunities when initiating hospice care activities in Southwest China: effective integration of resources, diversification of demand, policy support, positive attitude of medical staffs, etc. However, the lack of laws and regulations, the imperfect social security system, the lack of public awareness, and the lack of institutional operation and certification standards of practitioners are challenges when building such centers.
VL  - 7
IS  - 1
ER  -

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