The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
권호 표지
DOI QR코드

DOI QR Code

A Need Analysis for Medical Supporting Service as a Part of Community-based Hospice Palliative Care

지역사회기반 호스피스완화케어에서의 의료지원서비스 요구분석

  • Kwon, So-Hi (College of Nursing, Kyungpook National University) ;
  • Kim, Sook-Nam (Department of Nursing, Catholic University of Pusan) ;
  • Choi, Soon-Ock (Department of Nursing, Catholic University of Pusan) ;
  • Kim, Jung-Rim (Hospice Palliative Care Center Busan Metropolitan City) ;
  • Ryu, Ji-Seon (Department of Aging and Social Work, Catholic University of Pusan) ;
  • Baik, Jeong-Won (Industry-Academic Cooperation Foundation, Catholic University of Pusan)
  • 권소희 (경북대학교 간호학과) ;
  • 김숙남 (부산가톨릭대학교 간호학과) ;
  • 최순옥 (부산가톨릭대학교 간호학과) ;
  • 김정림 (부산광역시호스피스완화케어센터) ;
  • 류지선 (부산가톨릭대학교 노인복지보건학과) ;
  • 백정원 (부산가톨릭대학교 산학협력단)
  • Received : 2016.11.18
  • Accepted : 2016.12.20
  • Published : 2016.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study was conducted to investigate the need of medical supporting service (MSS) as a part of community-based hospice palliative care from the view point of beneficiaries and providers. Methods : This study adopted a methodological triangulation design. A questionnaire regarding intention to use MSS was completed by 175 patients under home-based cancer patient management program. And three focus groups consisted of hospice nurses, public health physicians, and public officials were interviewed to obtain the perceived needs, obstacles, and solutions of MSS. Results : Mean age of home-based cancer patient was 70.18 year old, 48.0% of them were living alone. Only 53.7% of them were treated pain and 93.7% intend to take pain medication prescribed by public health physician. All participants of focus group interviews agreed necessity and importance of MSS. Physicians' lack of confidence and unwillingness to prescribe opioid to terminal patients was the biggest obstacle to provide MSS in the public health center. Conclusions : The necessity and demand of MSS for community-dwelling cancer patients were verified. MSS is urgent issue to meet their needs.

Keywords

References

  1. Worldwide Palliative Care Alliance(2014), Worldwide Palliative Care Alliance, World Health Organization, Global atlas of palliative care at the end of life, p.9.
  2. S.N. Kim, S.O. Choi, Y.J. Kim, S.R. Lee(2010), Development of community health center-based hospice management model: pilot project at a community health center in Busan, Korean J Hospice Palliative Care, Vol.13(1);9-19.
  3. Korean Statistical Information Service(updated 2015. 10. 27), AVAILABLE From http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35001_A090&vw_cd=MT_ZTITLE&list_id=350_35001_6&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=E1
  4. National Cancer Center. AVAILABLE From http://hospice.cancer.go.kr/organ/organMap.do?menu_no=473&brd_mgrno
  5. Busan Social Welfare Development Institute(2014), Busan Social Welfare Statistics, pp.67-123.
  6. S.N. Kim(2015), Hospice Palliative Care Center Busan Metropolitan City annual report, Hospice Palliative Care Center Busan Metropolitan City, pp.12-45.
  7. W.J. Kim, M.Y. Kim, W.Y. Chang(2013), Analysis of symptoms and provided services in home-based cancer patient. Asian Oncology Nurs., Vol.13(2);67-75. https://doi.org/10.5388/aon.2013.13.2.67
  8. J.H. Lee, J.I. Park, J.H. Kang, J.H. Youm, D.H. Koh, K.S. Kwon(2011), Need assessment for the beneficiaries of home-based cancer patients management project, J Agric Med Community Health, Vol.36(4);238-250. https://doi.org/10.5393/JAMCH.2011.36.4.238
  9. P.H. Rossi, H.E. Freeman, M.W. Lipsey(1999), Evaluation: A systematic approach, 6th ed, Thousand Oaks, SAGE. pp.120-121.
  10. B.S. Lee, H.J. Kho, Y.S. Kwon, C.N. Kim, H.W. Kwak, M. Park(2008), The perception and the needs for hospice and palliative care services by a public health center in the residents of a rural area, Keimyung Journal of Nursing Science, Vol.12(1);23-32.
  11. J.S. Park, Y.J. Oh(2010), An analysis of cancer symptoms, perceived health status and given nursing services for community dwelling cancer patients who are registered in a public health center, J Korean Oncology Nurs, Vol.10(2);45-58.
  12. H. Cho. J.Y. Son, J.D. He, E.H. Jin(2007), Development of an efficient management program for the home-based cancer patient management project of public health center, Korean J Hospice Palliative Care, Vol.10(1);128-136.
  13. J.S. Huh, H.J. Kim(2010), Current status of home-based cancer patients management in Jeju, Korean J Hospice Palliative Care, Vol.13(2);76-80.
  14. H. Cho, J.Y. Son, J.D. Heo, E.H. Jin(2007), A study on demand and the supply for home-based cancer patient management projects of public health centers, Korean J Hospice Palliative Care, Vol.6(1);195-201.
  15. J.S. Park, Y.J. Oh(2010), An analysis of cancer symptoms, perceived health status and given nursing services for community dwelling cancer patients who are registered in a public health center, Journal of Korean Oncology Nurs., Vol.10(2);45-58.
  16. R.A. Kruger,(1998), Analyzing & Reporting Focus Group Results, SAGE, pp.68-72.
  17. J.W. Baik, S.N. Kim, S.O. Choi, J.S. Ryu(2016), A Study on the Perception of Hospice Palliztive Care and what Constitutes a Good Death of the Citizenry of Busan, The Korean Journal of Health Service Management, Vol.10(3);85-97. https://doi.org/10.12811/kshsm.2016.10.3.085

Cited by

  1. Evaluation of Outcomes of the Busan Community-based Palliative Care Project in Korea vol.12, pp.4, 2016, https://doi.org/10.1016/j.anr.2018.11.001
  2. 재가 호스피스완화 대상자의 증상 및 돌봄 요구도 분석 -부산광역시 보건소 중심 재가 호스피스사업을 중심으로- vol.12, pp.4, 2016, https://doi.org/10.12811/kshsm.2018.12.4.173
  3. 보건소 호스피스완화케어 서비스를 제공받는 재가 말기암 환자의 삶의 질 구조분석 vol.13, pp.4, 2016, https://doi.org/10.12811/kshsm.2019.13.4.163