In Singapore, a majority of patients in established end-of-life (EOL) care programmes are suffering from cancer. But there are patients, typically of advanced age, suffering from a combination of frailty, disability and multiple chronic diseases who will benefit from palliative care. In 2013, 69.3% of deaths in Singapore were unrelated to cancer. A total of 49.7% of all deaths were at age 75 and older. Only 26.8% of deaths occurred in the home. These patients tend to die in pain, not in their place of choice which tends to be the home, but often after frequent visits to the emergency department. To improve the delivery of EOL care for the homebound, non-cancer elderly patients, the Tsao Foundation Hua Mei EOL Care Pilot Programme was introduced. This study describes the pilot programme.
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