In this presentation, I introduce Taiwan’s Hospice-Focused Palliative Outcome Index (HFPOI) as a response to the global need to rebalance end-of-life care. Drawing upon the CUP Model, Context, User, and Provider, I explain how HFPOI was designed to incorporate ethical narratives, cultural meaning-making, and interdisciplinary collaboration in defining and evaluating what constitutes a “good death.”
I reflect on how our framework resonates with the five principles outlined by The Lancet Commission on the Value of Death, while also extending their application through grounded, Taiwanese healthcare realities. By emphasizing presence, family meaning, and human dignity, the CUP Model helps deconstruct the over-medicalization of dying and promotes supportive, relational, and community-based care.
I share how our team co-developed HFPOI instruments such as the LED–Good Death Index (LED-GDI) and the Patient Spiritual Well-being Scale (PtSpWBS) to embed patient and family perspectives into measurable outcomes. These tools allow us to assess dimensions of meaning, peace, forgiveness, and readiness—domains often absent from traditional metrics.
Through conceptual reflection and real-world cases, I argue that HFPOI provides a culturally grounded, replicable model to evaluate and improve end-of-life care, extending its relevance across cancer care trajectories—not only at the terminal stage, but throughout the illness journey.