新冠疫情对全球的临终关怀（PC）服务提出了挑战。我们研究了在以信仰为基础的医院（FBHs）中工作的医疗保健专业人员（HCPs）在疫情中的经历和调整的护理方式，以及这对有PC需求的患者的影响。我们对印度不同地区（农村和城市）的FBHs的HCPs进行了深度访谈，并进行了主题分析。总共进行了10个深度访谈，包括疫情的第一波（4个）、第二波（4个）和两波之间（2个）。HCPs描述了疫情早期社区中的恐惧和污名。农民工艰难困苦，许多当地医疗服务关闭，癌症护理受到严重影响。在第二波中，医疗保健服务的获取和可用性更好。在两波中，FBHs为非COVID患者提供了护理，并获得了社区的赞赏。对于HCPs来说，第一波意味着准备和培训；第二波则是一个可怕的阶段，医院床位、氧气以及许多人的死亡神情令人畏惧。其中8个FBHs提供了COVID-19护理。PC团队通过提供远程会诊、对家庭进行分级探访、送药、送食品、为青少年进行在线教学、筹集资金等方式，调整了服务。FBHs的优势在于致力于团队合作、员工关怀、快速响应以及根据建立的社区关系对社区需求进行调整。在疫情期间，FBHs保持开放，并继续提供一致、高质量和以人为本的护理。尽管资源有限，但通过使用创新方法，克服了挑战，常常取得了良好的成果。通过运用PC的视角定义和重新定义质量，FBHs加强了患者护理服务。© 作者（或其雇主）2023。不得进行商业再利用。请参阅权利和权限。由BMJ出版。

The COVID-19 pandemic challenged palliative care (PC) services globally. We studied the ways healthcare professionals (HCPs) working in faith-based hospitals (FBHs) experienced and adapted care through the pandemic, and how this impacted patients with PC needs.In-depth interviews were conducted with HCPs from FBHs serving rural and urban population across India. Thematic analysis was conducted.A total of 10 in-depth interviews were conducted during the COVID-19 pandemic, first wave (4), second wave (4) and between them (2). HCPs described fear and stigma in the community early in the pandemic. Migrant workers struggled, many local health services closed and cancer care was severely affected. Access and availability of healthcare services was better during the second wave. During both waves, FBHs provided care for non-COVID patients, earning community appreciation. For HCPs, the first wave entailed preparation and training; the second wave was frightening with scarcity of hospital beds, oxygen and many deaths. Eight of the 10 FBHs provided COVID-19 care. PC teams adapted services providing teleconsultations, triaging home visits, delivering medications, food at home, doing online teaching for adolescents, raising funds. Strengths of FBHs were dedicated teamwork, staff care, quick response and adaptations to community needs, building on established community relationship.FBHs remained open and continued providing consistent, good quality, person-centred care during the pandemic. Challenges were overcome innovatively using novel approaches, often achieving good outcomes despite limited resources. By defining and redefining quality using a PC lens, FBHs strengthened patient care services.© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.