Models, Interventions, and Reported Outcomes of Home-based Palliative Care in Patients With Non-communicable Diseases: a Scoping Review
Year: 2026
Type: article
Study design: Systematic Review
Abstract: Non-communicable diseases (NCDs) remain the leading cause of global mortality and substantially reduce patients’ quality of life, highlighting the urgent need for comprehensive palliative care. Home-based palliative care (HBPC) has emerged as a promising strategy to improve service quality; however, evidence regarding its effectiveness, intervention models, and implementation for patients with NCDs remains fragmented. This scoping review aimed to map HBPC service models, intervention components, clinical and psychosocial outcomes, healthcare provider involvement, as well as barriers and recommendations for implementation. The review was conducted following the PRISMA Extension for Scoping Reviews (PRISMA-ScR) framework. A systematic literature search was performed in PubMed, ScienceDirect, Embase, and Google Scholar using predefined keywords, and studies were selected according to established inclusion and exclusion criteria. The findings showed that HBPC is primarily delivered through routine home visits and specialist palliative care services. Most studies reported improvements in quality of life, reduced physical symptoms and psychological distress, enhanced social functioning, fewer aggressive medical interventions and acute care visits, greater patient comfort, improved emotional support, and more personalized care for both pediatric and adult populations. Key barriers included limited healthcare workforce capacity, inadequate service coordination, caregiver burden, and restricted access to service. Overall, HBPC is an effective approach for improving quality of life and delivering holistic care for patients with NCDs. Strengthening integration with primary healthcare services, expanding the use of digital technologies, and enhancing healthcare workforce capacity are recommended to support the sustainable implementation of HBPC. Penyakit tidak menular (PTM) masih menjadi penyebab utama kematian secara global dan secara signifikan menurunkan kualitas hidup pasien, sehingga diperlukan pelayanan paliatif yang komprehensif. Perawatan paliatif berbasis rumah (home-based palliative care/HBPC) menjadi salah satu pendekatan yang berpotensi meningkatkan kualitas pelayanan; namun, bukti mengenai model layanan, komponen intervensi, dan luaran yang dilaporkan pada pasien dengan PTM masih tersebar. Scoping review ini bertujuan untuk memetakan model layanan HBPC, komponen intervensi, luaran klinis dan psikososial, keterlibatan tenaga kesehatan, serta hambatan dan rekomendasi implementasinya. Tinjauan dilakukan berdasarkan kerangka Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). Pencarian literatur dilakukan secara sistematis melalui PubMed, ScienceDirect, Embase, dan Google Scholar menggunakan kata kunci yang telah ditentukan, kemudian studi diseleksi berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Hasil menunjukkan bahwa HBPC terutama diberikan melalui kunjungan rumah secara rutin dan layanan paliatif spesialis. Sebagian besar studi melaporkan peningkatan kualitas hidup, penurunan gejala fisik dan distres psikologis, peningkatan fungsi sosial, penurunan tindakan medis agresif dan kunjungan pelayanan akut, peningkatan kenyamanan pasien, dukungan emosional yang lebih baik, serta pelayanan yang lebih personal pada populasi anak maupun dewasa. Hambatan utama meliputi keterbatasan kapasitas tenaga kesehatan, koordinasi layanan yang belum optimal, beban caregiver, keterbatasan akses terhadap layanan. Secara keseluruhan, luaran yang dilaporkan menunjukkan bahwa HBPC berpotensi memberikan manfaat dalam mendukung kualitas hidup dan pelayanan holistik bagi pasien dengan PTM. Integrasi HBPC dengan pelayanan kesehatan primer, pemanfaatan teknologi digital, dan peningkatan kapasitas tenaga kesehatan direkomendasikan untuk mendukung implementasi HBPC secara berkelanjutan.
Source: Klabat Journal of Nursing
Institution: Universitas Pendidikan Ganesha
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7225258780