Special Issue "Recent Advances in Palliative and End-of-Life Care"

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: 30 November 2021.

Special Issue Editor

Prof. Dr. Eliza Lai-yi Wong
E-Mail Website
Guest Editor
The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
Interests: patient-reported health outcome (patient experience, health-related quality of life); healthcare service delivery and quality; cervical cancer screening

Special Issue Information

Dear Colleagues,

With advanced medical knowledge and technology, life expectancy has been increasing rapidly in the past decades. However, this dramatic increase in life expectancy did not come with a proportionate increase in the quality of life, particularly during the end stage of life. This leads to increasing challenges in the care journey, including patient engagement, caregiver support, hospital readmission, advocacy of advance directive, palliative and hospice care development, and policy in the fragmented medical and social care. This puts increasing pressure on the health system and social system in most countries. I suggest that the research on patient-centered care urgently needs to be refocused to include the end of life in life-limiting conditions and life-threatening diseases, thereby increasing both patients’ quality of life, caregivers’ well-being, as well as the burden on the health system. Measuring the quality of care in the end of life is done through a ranking system with international measures to facilitate comparison between countries and over time. However, there are hot debates about the value of these rankings conceptually, culturally, politically and morally which may not be applicable in different contextual settings and health systems. Thus, the value should support the analysis of factors behind the performance in both quantitative and qualitative ways so as to provide the input for action towards the improvement of end of life care. 

This Special Issue of International Journal of Environmental Research and Public Health (IJERPH) focuses on the current state of knowledge to improve the quality of care in end of life and strengthen the development of palliative and hospice care. New research papers, reviews, case reports, commentaries, and expanded conference papers are welcome to this Issue. Papers dealing with new approaches to palliative and end-of-life care are also welcome.

Prof. Dr. Eliza Lai-yi Wong
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All papers will be peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2300 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.


  • palliative care
  • end of life
  • hospice
  • life-limiting condition
  • life-threatening disease
  • patient-centered care
  • patient experience and satisfaction
  • health-related quality of life
  • caregiver’s experience
  • stakeholder views
  • care journey
  • advance directive
  • healthcare service delivery
  • health system and policy

Published Papers (1 paper)

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The Role Complexities in Advance Care Planning for End-of-Life Care—Nursing Students’ Perception of the Nursing Profession
Int. J. Environ. Res. Public Health 2021, 18(12), 6574; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126574 - 18 Jun 2021
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Nurses’ perceptions of being responsible for advance care planning (ACP) vary greatly across different studies. It could, however, affect their involvement in advance care planning and patients’ quality of death. Recent studies on this topic have mostly focused on advance directives but not [...] Read more.
Nurses’ perceptions of being responsible for advance care planning (ACP) vary greatly across different studies. It could, however, affect their involvement in advance care planning and patients’ quality of death. Recent studies on this topic have mostly focused on advance directives but not ACP and nurses in the ward setting. This study aimed to assess the perception of Hong Kong nursing undergraduates of the nurse’s role in advance care planning and examine its associations with knowledge, attitude, and experience. A cross-sectional 57-item survey was delivered to nursing undergraduates between June and August 2020. The chi-squared test or Fisher’s exact test were used for univariate analysis. The multiple logistic regression model was used for multivariate analysis. A total of 469 participants were assessed for eligibility; 242 of them were included in the data analysis, with a response rate of 97.6%. The majority of respondents—77.3% (95% CI: 72.0–82.6%)—perceived having a role in ACP, but large discrepancies were found between their perception of their role regarding different aspects of ACP. Participants who had a better knowledge status (p = 0.029) or supported the use of ACP (p < 0.001) were more likely to have a positive perception of their role in ACP. A negative correlation was found between the experience of life threat and positive role perception (p < 0.001). Through strengthening training, the role clarity of nursing undergraduates could be achieved, maximizing their cooperation with and implementation of ACP in their future nursing career. The enhancement of end-of-life education could also be undertaken to fill nursing undergraduates’ knowledge gap in this area and change their attitudes. Full article
(This article belongs to the Special Issue Recent Advances in Palliative and End-of-Life Care)
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