{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:07:35Z","timestamp":1756253255359,"version":"3.44.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"unspecified","delay-in-days":237,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1478951525100369_sec1a\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>A person-centered outcomes-based quality improvement program is lacking within palliative care in Mainland China. The well-established Australian Palliative Care Outcome Collaboration (PCOC) national model improves palliative care quality.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100369_sec2b\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>This study aimed to explore the barriers and facilitators perceived by healthcare providers to integrating the PCOC model in a Chinese hospital-based palliative care unit.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100369_sec3c\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>A qualitative descriptive study was conducted using semi-structured focus group and individual interviews. A rapid deductive analysis approach was selected for data analysis. The Consolidated Framework for Implementation Research framework was used to guide the study design, data collection, analysis, and interpretation.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100369_sec4d\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Eighteen healthcare professionals participated in this study, four focus group interviews and five individual interviews were completed. Barriers to the PCOC integration included clinical application and workload concerns (patients in terminal stage, patients\u2019 dialects, workload concerns, and staff shortages); attitudinal barriers (negative attitudes toward PCOC); psychological barriers (numbness to their work) and barriers related to knowledge and self-efficacy (lack of knowledge, capacity, and self-efficacy in palliative care). Facilitators included adapting the program to local contexts, ongoing education and feedback, effective PCOC data use, a supportive work and clinical environment and staff\u2019s perceived advantages of the model across clinical, research and process domains.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100369_sec5e\">\n\t    <jats:title>Significance of Results<\/jats:title>\n\t    <jats:p>The successful integration of the PCOC program hinges on local adaptation, improved data utilization, education, and IT support. In regions with less developed palliative care, enhancing professionals\u2019 knowledge and self-efficacy is crucial. Incorporating assessment and clinical response protocols into technology can accelerate palliative care development and implementation.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1478951525100369","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T07:34:55Z","timestamp":1756193695000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Health professionals\u2019 and leaders\u2019 views on routine using patient-centered outcome measures in a Chinese palliative care unit: A qualitative study"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7352-5850","authenticated-orcid":false,"given":"Yunyun","family":"Dai","sequence":"first","affiliation":[{"name":"Medicine and Health, University of Wollongong"},{"name":"Guilin Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara A.","family":"Daveson","sequence":"additional","affiliation":[{"name":"Medicine and Health; University of Wollongong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinfeng","family":"Ding","sequence":"additional","affiliation":[{"name":"Central South University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongyi","family":"Chen","sequence":"additional","affiliation":[{"name":"Central South University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5704-5782","authenticated-orcid":false,"given":"Junchen","family":"Guo","sequence":"additional","affiliation":[{"name":"Central South University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0434-6649","authenticated-orcid":false,"given":"Yu","family":"Cheng","sequence":"additional","affiliation":[{"name":"Jinxin Geriatric Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9190-8441","authenticated-orcid":false,"given":"Claire","family":"Johnson","sequence":"additional","affiliation":[{"name":"Medicine and Health, University of Wollongong"},{"name":"Monash University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"S1478951525100369_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s11427-022-2240-6"},{"key":"S1478951525100369_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"S1478951525100369_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2351-8"},{"key":"S1478951525100369_ref26","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019993"},{"key":"S1478951525100369_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(22)00402-8"},{"key":"S1478951525100369_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313491619"},{"key":"S1478951525100369_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.07.010"},{"key":"S1478951525100369_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-021-01111-5"},{"key":"S1478951525100369_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0550-7"},{"key":"S1478951525100369_ref19","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00825-z"},{"key":"S1478951525100369_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(22)00407-7"},{"key":"S1478951525100369_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216315589898"},{"key":"S1478951525100369_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.3731"},{"key":"S1478951525100369_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01395-6"},{"key":"S1478951525100369_ref11","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0853-y"},{"key":"S1478951525100369_ref8","first-page":"11","article-title":"Population-level, patient-reported outcomes: a case study regarding a public health intervention that involves patients with life-limiting illnesses [Original Research]","author":"Daveson","year":"2023","journal-title":"Frontiers in Public Health"},{"key":"S1478951525100369_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15146"},{"key":"S1478951525100369_ref23","volume-title":"Palliative Care Outcomes Collaboration","year":"2023"},{"key":"S1478951525100369_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.07.029"},{"key":"S1478951525100369_ref25","doi-asserted-by":"publisher","DOI":"10.1186\/s41043-018-0139-z"},{"key":"S1478951525100369_ref20","doi-asserted-by":"publisher","DOI":"10.4103\/apjon.apjon_72_17"},{"key":"S1478951525100369_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001144"},{"key":"S1478951525100369_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s41687-023-00565-z"},{"key":"S1478951525100369_ref18","unstructured":"Kinman, G , Dovey, A and Teoh, K (2023). Burnout in healthcare: risk factors and solutions."},{"key":"S1478951525100369_ref13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2019-010179"},{"key":"S1478951525100369_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/0269216320972049"},{"key":"S1478951525100369_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0242-0"},{"key":"S1478951525100369_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.09.036"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525100369","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T07:34:57Z","timestamp":1756193697000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525100369\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":28,"alternative-id":["S1478951525100369"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525100369","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e151"}}