• Title/Summary/Keyword: Advanced care planning

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End-of-Life Planning and the Influence of Socioeconomic Status among Black Americans: A Systematic Review

  • Chesney Ward;Katherine Montgomery
    • Journal of Hospice and Palliative Care
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    • v.27 no.1
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    • pp.21-30
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    • 2024
  • Purpose: The purpose of this systematic review is to explore end-of-life (EOL) care planning and the impact of socioeconomic status (SES) among people who identify as Black or African American. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) were used to guide and inform this systematic review process. The following academic electronic databases with publications that reflected the interdisciplinary fields related to the research objective were searched: APA PsycINFO, CINHAL, PubMed, Scopus, and Social Work Abstracts. Results: After the authors conducted the search, 14 articles (from 13 studies) ultimately met the criteria for inclusion. The results substantiated significant concerns highlighted in previous literature regarding SES and its relation to EOL planning, but also revealed an absence of original work and interventions to increase engagement in EOL planning among Black and African American populations. Conclusion: Black individuals deserve an equitable EOL experience. Researchers, practitioners, and policymakers need to move towards advocacy and action to meet this important need.

Preliminary Analysis on Strategic Planning to Enter Chinese health Care Market: Focusing on SWOT-AHP Analysis (중국 의료시장 진출 전략 기획을 위한 기초 분석 연구: SWOT과 AHP 분석기법을 중심으로)

  • Lee, Ye-Seol;Kim, Tae-Hyun
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.127-138
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    • 2018
  • Objectives: The purpose of this study was to identify the intrinsic strengths and weaknesses, as well as opportunities for success and threats of Korean health care industry when planning strategies to enter Chinese health care market. Methods: To suggest directions for planning the strategies, a SWOT(Strengths, Weaknesses, Opportunities, Threats) analysis was used in combination with an AHP(Analytic Hierarchy Process) in this study. A total of twenty SWOT factors and the relative weight of SWOT groups were examined through a survey on the respondents who have work experiences in the area of entering Chinese market. Results: "Geographical proximity between Korea and China" was recognized as a key strength. "Absence of success case in medical service industry" was selected as a critical weakness. "Increase in demand for advanced medical services in China" was identified as an important opportunity. "Difficulty in establishing Korea-China partnership" was considered as a major threat. The respondents prioritized weaknesses, followed by threats, opportunities, and strengths when conducting strategic planning to enter Chinese health care market. Conclusions: Improving local hospital management plan as well as specializing in certain health care services may be necessary.

Family Planning and Maternal-Child Health Services that Disciplined Itself in Primary Health Care Post from 1980 to 2009 (보건진료소 가족계획 및 모자보건사업(1980년~2009년))

  • Son, Gye-Soon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.3 no.2
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    • pp.104-115
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    • 2008
  • Purpose: A study of the family planning and Maternal-Child Health Services that disciplined itself in primary health care post form 1980 to 2009. Method: Investigation studies family planning in primary health care post and a change process of a Maternal-Child Health Services into case by case until 2009 from 1980. Results: Our country family planning business began at economic development dimensions in order to solve a poverty issue. This business goal were childbirth decrease of pregnancy possibility couple aged 19~49 and improve to mother and child health. For this goal, all kinds of health education included sex education and contraception education, contraception service, comprehensive maternal and child health service that management of front and back of childbirth etc. are provided. According to fail down a birthrate from 6.0(1962) to 1.25(2009), the nation reached to a dilemma called childbirth encouragement policy. Conclusions: Decrease of labor supply by low birthrate, decrease numerical an employed person by aging was brought a labor shortage and decrease of productivity of labor of industrial manpower. Deterioration phenomenon of financial income and expenditure by consumption and investment contraction caused decrease of slowdown of economic growth and potential growth rate, and a social cost burden is increased by deterioration financial old man support burden increase by this and pensions and health insurance, a sharp increase of social welfare cost etc. Now, in order to solve a low birth issue, the government establishes a whole nation forwarding system and establishes basic plan social low birth and advanced age, and to prepare for childbirth fault factors removal and advanced age society shall endeavor.

A Study on the Spatial Composition by Zone for the Architectural Planning of the Intensive Care Unit in Regional Public Hospitals (지방의료원 중환자부 건축계획을 위한 영역별 공간구성에 관한 연구)

  • Lyu, Cheng;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.26 no.1
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    • pp.51-62
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    • 2020
  • Purpose: The Intensive Care Unit (ICU) is an important inpatient care area where critical patients are treated intensively with advanced medical technology. The level of care of ICU and the modernization of related facilities is an important indicator of health care quality. At the present time, when the Regional public hospitals are frequently expanding, the rational planning of the ICU has become an important part of the medical institutions treating the ICU. The purpose of this study is to present basic data with net area which can be used in the architectural planning of the ICU. Methods: The investigation and analysis of the ICUs were conducted on 26 medical facilities, based on theoretical analysis through relevant guidelines, articles, and documents, and on the basis of the actual space composition and net area analysis through the architectural drawings. Results: This study provides basic data such as zone division, spatial composition, relationship between main activities and zones, composition of facilities in the zone and area ratio within each zone. Implications: The results of this paper are expected to be effective reference materials for future research for rational spatial organization and efficient operation of the Intensive Care Unit in regional public hospitals.

A Study on the Space Planning of Intensive Care Unit in General Hospital, China (중국 종합병원의 중환자부 영역별 소요공간 연구)

  • Lyu, Cheng;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.1
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    • pp.53-63
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    • 2021
  • Purpose: Intensive Care Unit (ICU) is an important field of inpatient treatment, in which critically ill patients have been treated intensively with advanced medical technology. The level of treatment in the intensive care unit and the modernization of related facilities are important indicators of the quality of medical care. At present, when regional public hospitals are expanding frequently, reasonable planning of ICU has become an important part of medical institutions that treat ICU. The purpose of this study is to provide basic data on the net area of each unit, which can be used in ICU building planning. Methods: The investigation and analysis of the ICU were conducted in 12 medical institutions, based on theoretical analysis based on relevant guidelines and literature, and analysis of actual space composition and net area through architectural drawings. Results: This research provides basic data, such as the location relationship with other important departments, regional division, spatial composition, the relationship between main activities and regions, the composition of facilities in the region, and the area and proportions of each region. Implications: It is expected that the results of this article will provide effective reference materials for the reasonable spatial organization and effective operation of the intensive care units of ordinary public hospitals of different sizes in the future.

Attitudes of Nurses toward Supportive Care for Advanced Cancer Patients

  • Park, Sun-A;Chung, Seung Hyun;Shin, Eun Hee
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.4953-4958
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    • 2012
  • The purpose of this study was to determine how nurses recognize the need for supportive care of advanced cancer patients and to provide preliminary data on how adequate circumstances are to be set up and maintained in Korea. For the purpose of this study, we developed a preliminary questionnaire based on a focus group of 8 nurses run by a clinical psychologist and administered it to 228 nurses in a cancer hospital, over a 3-month period. Participants of this study were nurses with more than 5 years' experience of treating advanced cancer patients. The result showed that 207 respondents (90.8%) agreed that a smooth communication system for treatment taking into account the symptoms experienced by patients and rehabilitation issues was needed. More than 80% agreed that the items needed for an integrated management service for advanced cancer patients should include psychological support, an integrated pain and symptom management, and education for the patient and his or her caregivers. These results strongly suggest that a new system distinct from palliative care or hospices is needed for patients with advanced cancer in Korea.

Welfare Planning and Home Care Nursing on the Home Staying Silver Citizen in Japan (일본의 재가노인에 대한 복지시책과 가정간호)

  • You, Kwang-Soo
    • Journal of Home Health Care Nursing
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    • v.2
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    • pp.77-88
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    • 1995
  • The increase of the aged according to the prolongation of the average life and the phenomenon of the nuclear familization according to civilization or industrialization is being problem for not Japan but also our nation. Nevertheless, the authorities were not interesting to an old impidement man. But nowdays, our goverement intends to deal with demertia patient or old man such a problem by the foundation of rementia center over the country. Even though having many problem to have to check the problems, the preparation of legal and systematic equipment etc., for our goverment will have to prepare all measures for unmovable man to live leisurly in their home by analysing the management of social welfare system of the advanced country or Japan.

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A Study on the Types of Layout in the Intensive Care Unit of Regional Public Hospitals based on the Relationship between the Beds and Nurse Station (병상과 간호스테이션의 관계를 기반으로 한 지방의료원 중환자부 배치유형에 관한 연구)

  • Lyu, Cheng;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.25 no.3
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    • pp.37-46
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    • 2019
  • Purpose: The Intensive Care Unit (ICU) is an important inpatient care area where critical patients are treated intensively with advanced medical technology. The level of care of ICU and the modernization of related facilities is an important indicator of health care quality. At the present time, when the Regional public hospitals are frequently expanding, the rational planning of the ICU has become an important part of the medical institutions treating the ICU. The purpose of this study is to present basic data with net area which can be used in the architectural planning of the ICU. Methods: The investigation and analysis of the ICUs were conducted on 24 medical facilities, based on theoretical analysis through relevant guidelines, articles, and documents, and on the basis of the actual space composition and net area analysis through the architectural drawings. Results: This study provides basic data such as bed placement type of ICU, relationship with other departments, distance between NS and bed, distance between beds, and net area of disease by type. Implications: The results of this paper are expected to be effective reference materials for future research for rational spatial organization and efficient operation of the Intensive Care Unit in regional public hospitals.

A Stduy on the Architectural Planning of the Day Care Center for the Eldery (노인주간보호센터 (Day Care Center)에 관한 건축계획적 연구)

  • Jang, Jin-Young;Kim, Kwang-Moon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.4 no.6
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    • pp.57-65
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    • 1998
  • According as the population has been having an advanced age, several problems which is due to the physical, spiritual, social and chronic diseases of the aged are occurred. And the necessity of domiciliary care or regional social facilities has come to offer a protection, care and medical services to them. Therefore, this study aims to represent the architectural data of a day-care center through comparative analysis with a foreign one, recognizing the necessity of the day-care center as a part of domiciliary care facilities As the method of this study, the concept and type of day-care services were founded with the operational realities. And the spatial composition of the present condition was investigated and analyzed.

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Heuristics for Locating Two Types of Public Health-Care Facilities

  • Kim, Dong-Guen;Kim, Yeong-Dae;Lee, Tae-Sik
    • Industrial Engineering and Management Systems
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    • v.11 no.2
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    • pp.202-214
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    • 2012
  • This paper discusses the problem of determining locations for public health-care facilities and allocating patients to the public facilities with the objective of minimizing the total construction cost. The public health-care facilities have two types of facilities: public hospitals and health centers. The public hospital provides both hospital services and homecare services, while the health center provides only homecare service. We present an integer programming formulation for the problem, and develop two types of heuristics, based on priority rules and approximate mathematical formulation. Results of a series of computational experiments on a number of problem instances show that the algorithms give good solutions in a reasonable computation time.