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http://dx.doi.org/10.5392/JKCA.2022.22.06.567

Hospice System Improvement Measures to Increase the Accessibility of Voluntary Home Death: A Comparison of the South Korean and American Hospice Systems  

Han, Da-Jeong (연세대학교 의료법윤리학협동과정)
Choi, Young-Soon (연세대학교 보건대학원)
Lee, Dong-Hyun (연세대학교 보건대학원)
Publication Information
The Journal of the Korea Contents Association / v.22, no.6, 2022 , pp. 567-579 More about this Journal
Abstract
The purpose of this study is to find a way to improve the hospice system to increase comfortable home death, which people prefer, by understanding the factors affecting the difference in the rate of home death between South Korea and America within the hospice system. This study employs the Most Similar Systems Design, which is a case study approach. The result of this study is that both countries have public health insurance systems that are identical in terms of the appropriate time for the receipt of hospice services and the application procedure, which requires that two doctors confirm the patient's hospice eligibility. The main difference is that in South Korea, inpatient hospice is prevalent, whereas routine home care is predominant in the United States. Furthermore, in the United States, hospice assistants and housekeepers support at-home daily living care. Additionally, the United States provides inpatient respite care to allow care-giver, such as family to rest and there is no restriction on hospice-eligible diseases. To increase the accessibility of voluntary home death in South Korea, it is necessary to activate and expand the home type hospice service range and provide at-home daily living care, care-giver support services. Furthermore, there should be no restrictions on hospice-eligible diseases.
Keywords
United States of America; Home Death; Death; South Korea; Hospice;
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Times Cited By KSCI : 2  (Citation Analysis)
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