Similarities and differences between China and Sweden regarding the core features of palliative care for people aged 60 or older: a systematic scoping review

Abstract Background Despite the increasing longevity of the world’s population, with an unprecedented rise in the number of people who need palliative care (PC), there has been sparse research regarding palliative care for older people, especially when it comes to comparison of PC between healthcare...

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Main Authors: Gerd Ahlström, Hongli Huang, Yu Luo, Christina Bökberg, Birgit H. Rasmussen, Eva I. Persson, Lian Xue, Le Cai, Pingfen Tang, Magnus Persson, Jingjing Huang
Format: Article
Language:English
Published: BMC 2022-03-01
Series:BMC Palliative Care
Subjects:
Online Access:https://doi.org/10.1186/s12904-022-00906-7
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author Gerd Ahlström
Hongli Huang
Yu Luo
Christina Bökberg
Birgit H. Rasmussen
Eva I. Persson
Lian Xue
Le Cai
Pingfen Tang
Magnus Persson
Jingjing Huang
author_facet Gerd Ahlström
Hongli Huang
Yu Luo
Christina Bökberg
Birgit H. Rasmussen
Eva I. Persson
Lian Xue
Le Cai
Pingfen Tang
Magnus Persson
Jingjing Huang
author_sort Gerd Ahlström
collection DOAJ
description Abstract Background Despite the increasing longevity of the world’s population, with an unprecedented rise in the number of people who need palliative care (PC), there has been sparse research regarding palliative care for older people, especially when it comes to comparison of PC between healthcare systems and cultures. The aim of this systematic scoping review was to identify the characteristics of the body of literature and to examine the knowledge gaps concerning PC research for older people (> 60 years) in two healthcare systems and cultures, mainland China and Sweden. Methods The guidelines PRISMA (Preferred Reporting Items for Systematic Reviews), and PICOS (Patient/population, Intervention, Comparison/control, and Outcome) were used. Empirical studies on patients 60 years or older, next of kin or staff participating in a palliative care intervention or setting were included. They were conducted in mainland China or in Sweden during 2007–2019, were published in English and were extracted from seven databases: Embase, PubMed, Scopus, Cinahl, PsycInfo, Academic Search Complete and Cochrane Library. Two independent researchers conducted the selection of studies, data extraction and methodological evaluation. Any disagreements were resolved in consultation with a third researcher. The analysis was manifest directed content analysis based on PICOS domains. Results Of the 15 studies, four were from mainland China and 11 from Sweden. Both countries included older patients with cancer but also other end-stage diseases such as heart failure and dementia. The studies differed in design, method and the content of the interventions. The study in China based on traditional Chinese medicine concerns traditional Chinese folk music. The six qualitative studies from Sweden were evaluations of five interventions. Conclusions Despite the high age of the participating patients, there was no focus on an ageing perspective concerning palliative care. To adapt to the changes taking place in most societies, future research should have increased focus on older persons’ need for palliative care and should take account of issues concerning research ethics, ethnicity and culture. Registered in Prospero CRD42020078685 , available from.
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spelling doaj.art-65414a6328fc430aa44f6674cbb872362022-12-21T22:51:28ZengBMCBMC Palliative Care1472-684X2022-03-0121111610.1186/s12904-022-00906-7Similarities and differences between China and Sweden regarding the core features of palliative care for people aged 60 or older: a systematic scoping reviewGerd Ahlström0Hongli Huang1Yu Luo2Christina Bökberg3Birgit H. Rasmussen4Eva I. Persson5Lian Xue6Le Cai7Pingfen Tang8Magnus Persson9Jingjing Huang10Department of Health Sciences, Faculty of Medicine, Lund UniversityHospital Management, the Third People’s Hospital of KunmingHospice Care Department, the Third People’s Hospital of KunmingDepartment of Health Sciences, Faculty of Medicine, Lund UniversityDepartment of Health Sciences, Faculty of Medicine, Lund UniversityDepartment of Health Sciences, Faculty of Medicine, Lund UniversityHospice Care Department, the Third People’s Hospital of KunmingSchool of Public Health, Kunming Medical UniversitySchool of Public Health, Kunming Medical UniversityDepartment of Health Sciences, Faculty of Medicine, Lund UniversityThe Medical Record Statistics Department, the Third People’s Hospital of KunmingAbstract Background Despite the increasing longevity of the world’s population, with an unprecedented rise in the number of people who need palliative care (PC), there has been sparse research regarding palliative care for older people, especially when it comes to comparison of PC between healthcare systems and cultures. The aim of this systematic scoping review was to identify the characteristics of the body of literature and to examine the knowledge gaps concerning PC research for older people (> 60 years) in two healthcare systems and cultures, mainland China and Sweden. Methods The guidelines PRISMA (Preferred Reporting Items for Systematic Reviews), and PICOS (Patient/population, Intervention, Comparison/control, and Outcome) were used. Empirical studies on patients 60 years or older, next of kin or staff participating in a palliative care intervention or setting were included. They were conducted in mainland China or in Sweden during 2007–2019, were published in English and were extracted from seven databases: Embase, PubMed, Scopus, Cinahl, PsycInfo, Academic Search Complete and Cochrane Library. Two independent researchers conducted the selection of studies, data extraction and methodological evaluation. Any disagreements were resolved in consultation with a third researcher. The analysis was manifest directed content analysis based on PICOS domains. Results Of the 15 studies, four were from mainland China and 11 from Sweden. Both countries included older patients with cancer but also other end-stage diseases such as heart failure and dementia. The studies differed in design, method and the content of the interventions. The study in China based on traditional Chinese medicine concerns traditional Chinese folk music. The six qualitative studies from Sweden were evaluations of five interventions. Conclusions Despite the high age of the participating patients, there was no focus on an ageing perspective concerning palliative care. To adapt to the changes taking place in most societies, future research should have increased focus on older persons’ need for palliative care and should take account of issues concerning research ethics, ethnicity and culture. Registered in Prospero CRD42020078685 , available from.https://doi.org/10.1186/s12904-022-00906-7Palliative careScoping reviewElderlyOlder peopleChinaSweden
spellingShingle Gerd Ahlström
Hongli Huang
Yu Luo
Christina Bökberg
Birgit H. Rasmussen
Eva I. Persson
Lian Xue
Le Cai
Pingfen Tang
Magnus Persson
Jingjing Huang
Similarities and differences between China and Sweden regarding the core features of palliative care for people aged 60 or older: a systematic scoping review
BMC Palliative Care
Palliative care
Scoping review
Elderly
Older people
China
Sweden
title Similarities and differences between China and Sweden regarding the core features of palliative care for people aged 60 or older: a systematic scoping review
title_full Similarities and differences between China and Sweden regarding the core features of palliative care for people aged 60 or older: a systematic scoping review
title_fullStr Similarities and differences between China and Sweden regarding the core features of palliative care for people aged 60 or older: a systematic scoping review
title_full_unstemmed Similarities and differences between China and Sweden regarding the core features of palliative care for people aged 60 or older: a systematic scoping review
title_short Similarities and differences between China and Sweden regarding the core features of palliative care for people aged 60 or older: a systematic scoping review
title_sort similarities and differences between china and sweden regarding the core features of palliative care for people aged 60 or older a systematic scoping review
topic Palliative care
Scoping review
Elderly
Older people
China
Sweden
url https://doi.org/10.1186/s12904-022-00906-7
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