It is therefore a priority in palliative care to develop effective outcome practice systems. Key points Current systems of monitoring and evaluating outcomes relating to palliative care are poorly developed. Outcomes reflect the quality of care within an organisation, and purchasers are now beginning to focus on outcomes when negotiating palliative care-related contracts. A care pathway specifies an agreed plan of care by contributing professionals - including members of the core professional team and those who are on the periphery. It provides a method of co-ordinating and standardising care across geographical settings.
Care pathways can provide a potentially powerful aid to professionals involved in palliative care.
Basic principles of treatment are translated into daily practice, including bedside documentation systems, policies and procedures, standards of practice, continuing education and quality improvement programmes. The historic handover has been documented in close detail and the rest of the world remains watchful of the events which are unfolding in Hong Kong. Over six million people live in Hong Kong, where cancer has now become the leading cause of death. In 1992 over 9,000 cancer deaths were reported, with breast and lung being the most common primary forms. The size of Hong Kong and its excellent transport and telecommunication systems have influenced the development of its particular model of palliative care.