Evaluation of a Community-Based Cancer Patient Management Program: Collaboration between a Hospice Center and Public Health Centers / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care
; : 216-224, 2010.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-192801
Responsible library:
WPRO
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate a community-based cancer patient management program (CBPCMP) which was collaborated between a hospice center and public health centers.METHODS:
The CBPCMP proceeded on four steps; 1) Signing agreements with three public health centers, 2) Enrolling the domiciliary terminal cancer patients, 3) Providing home hospice service, and 4) Inquiring patient's level of satisfaction. From February 1 to December 31 in 2009, 43 terminal cancer patients were referred and provided with home hospice service. The hospice team made a total of 605 visits. Medical records for each visit and data from satisfaction surveys were analyzed.RESULTS:
76.7% of patients were older than 60 years, and 90.7% of the patients were alert. The level of functional status for 76.7% of patients rated as lower than ECOG grade 1. 62.8% of the patients or their caregivers signed hospice service agreements. On the initial evaluation, the most frequent reasons for referral were general weakness (86.0%), followed by anorexia (72.1%). Nurses visited the patients' most frequently (371 visits), followed by volunteers (216 visits). Nurses provided emotional support and health promotion counseling on 95.1% and 22.9% of visits, respectively. The mean satisfaction score rated by patients and their family was 4.45 out of 5.CONCLUSION:
This study tested CBPCMP in collaboration with hospice centers and public health centers. CBPCMP showed a possibility to improve the quality of end of life care. To insure the quality care, however, the guidelines for home hospice service should be developed.
Full text:
Available
Health context:
SDG3 - Target 3C: Increase health financing and the recruitment, development, training and retention of the health workforce
/
SDG3 - Health and Well-Being
Health problem:
Authority and Accountability for Healthcare Workers
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Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
WPRIM (Western Pacific)
Main subject:
Referral and Consultation
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Terminal Care
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Anorexia
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Medical Records
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Public Health
/
Caregivers
/
Community Networks
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Cooperative Behavior
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Counseling
/
Health Promotion
Type of study:
Evaluation study
/
Qualitative research
Aspects:
Social determinants of health
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Hospice and Palliative Care
Year:
2010
Document type:
Article