Table 1

Strategies maintaining hospice and palliative care quality

Fields influencedIssues identifiedStrategies
Inpatient palliative careIncreased psychospiritual suffering.
Delayed treatment initiation/withdraw.
Availability of part-time therapists.
Introduce real-time video‚Äďaudio products, electronic recording devices.
Appropriate hardware/software support for online meeting.
Online self-learning course for spiritual therapy.
Palliative home careIncreased home care patients and increased complexity of their conditions.
Increased risk of exposure.
Introduce telemedicine.
Appropriate manpower resource allocation.
Offer palliative home care SOP for reference.
Palliative team member stressIncreased work loading, fear of virus infection, inappropriate labelling.Cautious task assignment.
Enhance public health education.
Terminal patient consultationInconvenience for family meeting arrangement.Early but timely hospice consultation.
Appropriate hardware/software support for online meeting.
Terminal patient admissionTime-consuming screening for COVID-19.Tailored pathway for admission.
Patients with COVID-19Rapid progressing and unpredictable disease course.Early but timely hospice consultation.
Implementing advanced care planning.
  • SOP, standard operation procedure.