• Title/Summary/Keyword: 완화 의료

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Current Status and Activation Plan of Hospice Palliative Care in Korea - Based on Hospice Palliative Care Facilities Survey (국내 호스피스.완화의료 현황 및 활성화 방안 - 호스피스.완화의료 기관 조사를 바탕으로)

  • Kyung, Min-Ho;Jang, Yu-Mi;Han, Kyung-Hee;Yun, Young-Ho
    • Journal of Hospice and Palliative Care
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    • v.13 no.3
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    • pp.143-152
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    • 2010
  • Purpose: This study aimed to evaluate the current status of hospice palliative care facilities in Korea. Based on the result, we attempted to suggest activation plans of hospice palliative in Korea. Methods: To conduct a survey, we obtained a list of hospice palliative care facilities from related agencies and academic societies. A survey was conducted from February, 2009 to March, 2009. The survey was consisted of general characteristics of organizations, manpower, facilities & equipments, and so on. In addition, we used data from Statistics Korea to estimate the number of beds required and the bed occupancy rate. Results: Total number of facilities responded to the questionnaire were 53. Forty-two facilities were general hospitals and 6 facilities were clinics among the total 53 facilities, and 18.8% of facilities were located in Seoul, Incheon and Gyeonggido. Overall bed occupancy rate was rather low as 21.9%, and there were 4 provinces where bed occupancy rates were 0%. Deaths in hospice palliative care facilities during 2008 were 6.3% of total deaths from cancers. As for the questions about the financial status of facilities, 86% of facilities were answered financial insufficiency. Also more than half of the facilities gave financial insufficiency as the reason for shortage of human resource supplies and inability to achieve the standard for authorization by the government. Facilities answered in order to activate the hospice palliative care, governmental support is needed, mostly in financial support (71.2%), donation tax deduction (43.1%), and setting up a public utility foundation (23.5%). Conclusion: This study showed low rates of hospice palliative care use and bed occupancy in Korea. Regional variance in bed occupancy rate was significantly high. As a roadblock for these problems, most of the facilities cited financial insufficiency. Therefore, there must be some action plans to boost financial support to activate hospice palliative care in Korea. Finally, efforts to improve these circumstances including lack of understanding about hospice and palliative care, are needed as well.

임종

  • Jo, Du-Yeong
    • 한국호스피스완화의료학회:학술대회논문집
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    • 2002.07a
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    • pp.55-57
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    • 2002
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Bereavement Care

  • 매리암
    • 한국호스피스완화의료학회:학술대회논문집
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    • 2002.07a
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    • pp.73-75
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    • 2002
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A Convergence Study on the Necessity of General Hospital Workers Hospice Palliative Care Education (일반병원직원의 호스피스 완화의료 교육 요구도에 관한 융합 연구)

  • Kwon, Chun-Hye;Lee, Moo-sik;Kang, Kyung-Hee;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.45-54
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    • 2017
  • This study aims to identify the requirement of death, hospice palliative care education targeting nursing assistant and general workers among hospice palliative care private hospital workers convergencely. The survey period is from September 22 to October 21 in 2016, and 158 workers of hospice palliative care private hospitals in Chungnam region have been surveyed. Detailed results of this study are as follows. In terms of importance of theoretical and practical education in hospice palliative care education content, all of the respondents answered that practical had higher importance than theoretical education. The above results of this study are hoped to be helpful in developing customized hospice palliative care education program that is meeting characteristics and requirements of hospice palliative care private hospital workers, especially for nursing assistants as basic data.

A Review on Palliative Care Research Outcomes: Focus on the Quality of Life (완화의료연구에서의 결과에 대한 검토: 삶의 질을 중심으로)

  • Hwang, In-Cheol;Ahn, Hong-Yup
    • Journal of Hospice and Palliative Care
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    • v.15 no.3
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    • pp.141-146
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    • 2012
  • Over the past several decades, the assessment of quality of life (QoL) has increasingly played a prominent role in both clinical practice and research regardless of the medical field. Palliative care is defined as an approach that improves the QoL of patients and their families and optimizing their QoL is the primary goal of palliative care. However, it is difficult to compare related studies due to several obstacles such as discrepancies in definitions for palliative medicine, lack of consensus on the central domains and diverse instruments. In this paper, we examined the current status of and challenges in QoL studies and discussed possible solutions. We are convinced this review will be helpful for further palliative care studies.

The Past, Present and Future Strategies of Korean Social Work in Hospice and Palliative Care (한국 호스피스.완화의료 사회복지의 과거, 현재 그리고 미래 전략)

  • Lee, Young Sook
    • Journal of Hospice and Palliative Care
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    • v.16 no.2
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    • pp.65-73
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    • 2013
  • The objective of this paper is to suggest future goals and strategies for social work in hospice and palliative care in Korea by understanding its historical background. Both literature review and participant observation were performed to examine historical data relating to social work in hospice and palliative care in Korea. Also reviewed were the current trends with a focus on the roles of social workers in the said arena, qualifications, education, research and medical insurance policy. First of all, the roles of social workers do not appear to be clearly defined in the field of hospice and palliative care, which seems to lead to the lack of recognition as professional workers. The qualification standard for social workers in hospice and palliative care remains inadequate. Second, there seems to be insufficient professional social worker training resources, in terms of both the number of educators and training programs. Third, social workers in Korea produce significantly less publications than those in other professions. There is also a dearth of qualified evidence-based research that is needed to prove benefits of intervention and ultimately for policy implications. Last, the current medical insurance policy needs to be revised to secure fees for social work services and dedicated full-time social workers in hospice and palliative care. Korea needs to approach social work in hospice and palliative care with specific goals to develop future strategies. Related infrastructure and an executive structure should be established via networking and partnership with academic societies, associations and schools.

Pediatric Nurses' Perception and Knowledge about Pediatric Hospice Palliative Care (아동 호스피스·완화의료에 대한 아동병동 간호사의 인식과 지식)

  • Yu, Juyoun;Bang, Kyung-Sook
    • Journal of Hospice and Palliative Care
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    • v.18 no.3
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    • pp.235-244
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    • 2015
  • Purpose: The aim of this study was to investigate pediatric nurses' perception and knowledge about pediatric hospice and palliative care. Methods: A cross-sectional descriptive study was conducted with 132 nurses who are stationed in pediatric wards and intensive care units. The participants were requested to fill out a questionnaire comprising 23 items for perception and 20 items for knowledge. Data were collected after obtaining written consent. Data were analyzed using SPSS 21.0. Results: Participants perceived difficulties in pediatric hospice palliative care, especially communication with patients and their families. The differences of perception among participants were observed according to pediatric hospice and palliative care experience, but not general characteristics. Participants' knowledge was $8.83{\pm}2.64$. Nurses who work in a ward showed higher level of knowledge about pediatric hospice/palliative care. Conclusion: An education program should be developed and provided to pediatric nurses to improve their perception and knowledge about pediatric hospice/palliative care.

호스피스와 완화의료

  • Hong, Yeong-Seon
    • Health and Mission
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    • s.3
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    • pp.21-26
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    • 2005
  • 정부 당국이 정책적으로 호스피스 제도를 완비하고 문제점을 보완하는 노력이 필요한 때가 도래했다. 말기암 환자의 삶을 편안하게 하고 인간 존엄성을 끝까지 유지하기 위한 호스피스 및 완화의학의 필요성이 절실히 요청되는 의료환경을 직시해야 한다.

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Issue Analysis on the Deregulation of Telemedicine in the Digital Convergence Era (디지털 융복합시대에 원격의료 규제 완화에 관한 쟁점 분석)

  • Kim, Jin-Suk;Oh, Su-Hyun
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.445-457
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    • 2020
  • The purpose of this study is to analyze various issues that may arise from the recent deregulation of telemedicine implemented by the government, propose initiative preparations for the implementation of telemedicine policies, and suggest implications for the basic conditions and direction of the deregulation of telemedicine. Recently, deregulation policy cases in telemedicine include that designation of a special zone for regulatory freedom in Gangwon Province, allowing physician-patient telemedicine and telephone counseling and prescription cases in the COVID-19 crisis. There are four main issues that could arise with the deregulation of telemedicine: safety, effectiveness, differences in access to health care and the economic industry, and legal responsibility. As a initiative preparation, this study proposed a pilot project for telemedicine and enhanced support for face-to-face care complementary tools, vitalizing remote co-operation, policy model that do not disrupt the medical delivery system, and legal maintenance. In conclusion, as a suggestion of basic premise and direction in the implementation of telemedicine deregulation, the implementation of initiative measures to address issues concerning telemedicine, the review and regulation of conditions to be considered in the implementation of telemedicine, and the establishment of a close communication and cooperative sturcture with medical providers.