Browse > Article
http://dx.doi.org/10.14475/kjhpc.2013.16.1.010

Assessment of the Effect of a Public Health Clinics' Home-Based Terminal Cancer Patient Management in Collaboration with a Regional Cancer Center  

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)
Publication Information
Journal of Hospice and Palliative Care / v.16, no.1, 2013 , pp. 10-19 More about this Journal
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.
Keywords
Home care services; Community health centers; Neoplasms; Academic medical center; Referral and consultation;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Kim TS, Yang BG, Jeong EK, Park NR, Lee YS, Lee SG, et al. Need assessment of home-based cancer patients. Korean J Hosp Palliat Care 1999;2:36-45.
2 Cho H, Son JY, Heo JD, Jin EH. A study on demand and the supply for home-based cancer patient management projects of public health centers. Korean J Hosp Palliat Care 2007;10:195-201
3 Yennurajalingam S, Kang JH, Hui D, Kang DH, Kim SH, Bruera E. Clinical response to an outpatient palliative care consultation in patients with advanced cancer and cancer pain. J Pain Symptom Manage 2012;44:340-350.   DOI   ScienceOn
4 Huh JS, Kim HJ. Current status of home-based cancer patients management in Jeju. Korean J Hosp Palliat Care 2010;13:76-80.
5 Lee HS, Park SH, Chung YS, Lee B, Kwon SH. Evaluation of a community-based cancer patient management program: collaboration between a hospice center and public health centers. Korean J Hosp Palliat Care 2010;13:216-224.
6 Status of regional cancer center [Internet]. Goyang: National Cancer Center; 2012 [cited 2012 Oct 7]. Available from: http:// ncc.re.kr/manage/manage1208.jsp.
7 Likert R. A technique for the measurement of attitudes. Archives of Psychology, Series no. 140, New York:[s.n.];1932. p. 1-55.
8 Ministry of Health & Welfare. 2011 Guidlines for home-based cancer patient management projects. Seoul:Ministry of Health & Welfare;2011. p. 6-13.
9 Seo KH, Lim SM, Park KS, Key DH, Park YH. A study on the current state of public health doctors. J Korean Med Assoc 2012;55:56-73.   DOI   ScienceOn
10 Lee SW, Lee EO, Huh DS, Noh KH, Kim HS, Kim SR, et al. The study on the medical and nursing service needs of the terminal cancer patients and their caregivers. J Korean Acad Nurs 1998;28:958-969.