Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Assessment of the Effect of a Public Health Clinics' Home-Based Terminal Cancer Patient Management in Collaboration with a Regional Cancer Center

경남 지역 암센터와 보건소 재가암환자 관리 서비스와의 연계 사업

  • Song, Haa-Na (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kang, Myoung Hee (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Lee, Gyeong Won (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kim, Hoon Gu (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Lee, Won Sup (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kang, Jung Hun (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kang, Yoon Sik (Department of Preventive Medicine, Gyeongsang National University School of Medicine) ;
  • Eun, Young (College of Nursing, Gyeongsang National University)
  • 송하나 (경상대학교 의학전문대학원 내과학교실) ;
  • 강명희 (경상대학교 의학전문대학원 내과학교실) ;
  • 이경원 (경상대학교 의학전문대학원 내과학교실) ;
  • 김훈구 (경상대학교 의학전문대학원 내과학교실) ;
  • 이원섭 (경상대학교 의학전문대학원 내과학교실) ;
  • 강정훈 (경상대학교 의학전문대학원 내과학교실) ;
  • 강윤식 (경상대학교 의학전문대학원 예방의학교실) ;
  • 은영 (경상대학교 간호대학)
  • Received : 2012.10.22
  • Accepted : 2013.01.23
  • Published : 2013.03.01
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Abstract

Purpose: Home-based care providers were surveyed to assess the effect of collaborative service between Gyeongnam Regional Cancer Center (GRCC) and public health centers (PHCs) in Gyeongnam province. Methods: Twenty home-based care providers who had previously participated in the GRCC-PHC care project were recruited from nine PHCs and were surveyed using a questionnaire developed by specialists. Questions were rated using the 5-point Likert scale ranging from "strongly disagree (-2)" to "strongly agree (+2)" and each score was multiplied by the corresponding number of respondents (n=20) with the maximum score of 40. Results: Between January 2008 and December 2011, 73 patients were registered to the collaborative service: 72 by GRCC and one by PHC. Home-based care providers marked the highest score (23 points) to "The collaborative service contributed to patients and their family's psychological stability" and the lowest score (11 points) to "The collaborative service was generally helpful for home-based cancer management." For possible suggestions to improve the service, the highest score (35 points) was given to "Simplification of the hospitalization process" followed by "Substantial benefits for patients at their visit to the hospital" (34 points). Conclusion: The results revealed several limitations of the GRCC-PHC collaborative care service for terminal cancer patients. The service could be further improved by developing measures to address the limitations and a service model tailored to region-specific needs.

목적: 경남지역 암센터와 경남지역 각 보건소와의 말기암환자를 대상으로 시행한 연계 사업을 담당자를 대상으로 한 설문조사를 통해서 평가하고자 하였다. 방법: 2008년 1월 1일부터 2011년 12월 31일까지 경남지역 암센터와 연계 사업 협약을 체결하고, 환자를 등록해서 진행한 보건소 실무자를 대상으로 진행하였다. 총 9개 지역 보건소의 실제 사업에 참여한 경험이 있는 재가암 담당자 20명을 대상으로 설문지를 개발하여 조사를 하였다. 각 문항의 평가는 Likert 5단계 척도를 변형하여 단계마다 -2에서 +2까지 점수를 부여하였고, 각 문항의 총점은 40점이었다. 결과: 2008년 1월부터 2011년 12월까지 73예(72예는 경남지역 암센터, 1예는 보건소에서 등록)가 연계되었다. 서비스에 대한 평가로 환자나 가족들의 심리적 안정에 도움이 된다라는 항목이 23점으로 가장 높았고, 전반적으로 재가암 사업에 도움이 된다는 점이 11점으로 가장 낮게 나왔다. 연계 서비스에 대한 개선 문항으로는 입원 절차의 간소화가 35점, 환자 병원 방문 시 실질적 혜택 제공이 34점으로 높게 나온 반면, 보건소의 인력 강화가 4점으로 가장 낮게 나타났다. 결론: 말기암환자를 대상으로 한 경남 지역 암센터-보건소 재가암 쌍방향 서비스는 몇 가지 한계점을 드러내었다. 보다 나은 연계 서비스를 위해서는 이번 연구를 통해 나타난 여러 점들을 개선하고, 또 지역 실정에 맞는 모델을 개발하는 등의 노력이 필요한 것으로 생각된다.

Keywords

References

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