Developing Seamless End-Stage Cancer Patient Care Models in the Community

Abstract

Research and development were designed to develop a seamless community-based end-of-life cancer patient care model. We conducted the study between May 2022 and November 2023, which involved four phases: planning, implementation, observation, and reflection. The purposive sampling group consisted of 165 individuals, including medical personnel, local administrators, public health volunteers, patients, and caregivers. We utilized various research tools, including symptom assessment forms, quality-of-life assessments, and satisfaction surveys. We performed data analysis using descriptive statistics and paired sample t-tests.
The study identified several challenges in end-of-life cancer patient care, including inadequate patient problem assessment, insufficient personnel knowledge and skills, and shortcomings in utilizing communication technology and network coordination for support. The developed model encompassed comprehensive care systems, competency enhancement and personnel empowerment, and support systems linking networks at all levels. The model’s implementation led to significant improvements in patient symptoms, enforced care outcomes, patient and caregiver quality of life, and stakeholder satisfaction.