Evaluation of Outcomes of the Busan Community-based Palliative Care Project in Korea
Autor: | Soon-Ock Choi, Jung-Rim Kim, Jeong-Won Baik, Nae-Hyeon Kim, Seong-Hoon Shin, Ji-Seon Ryu, Sook-Nam Kim |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty Palliative care Pilot Projects Community Networks Civil servants 03 medical and health sciences 0302 clinical medicine Quality of life 030502 gerontology Republic of Korea Humans Medicine General Nursing Depression (differential diagnoses) Aged Quality of Health Care Aged 80 and over Community based lcsh:RT1-120 lcsh:Nursing business.industry Public health Palliative Care General Medicine Middle Aged Cross-Sectional Studies 030220 oncology & carcinogenesis Family medicine Quality of Life Anxiety Female medicine.symptom 0305 other medical science business Utilization rate |
Zdroj: | Asian Nursing Research, Vol 12, Iss 4, Pp 286-292 (2018) |
ISSN: | 1976-1317 |
Popis: | Purpose: This study aimed to evaluate the outcomes of a community-based palliative care project conducted in Busan city, Korea, from 2013 to 2015. Methods: We selected four outcome indices based on the project's outcomes derived from a logic model and used a longitudinal and cross-sectional comparative design approach depending on the outcome index. Results: The utilization rate of palliative care increased from 9.2% in 2012 to 41.9% in 2015. Regarding symptom changes in 65 patients receiving palliative care at 3 and 6 months (mean age = 72 years, standard deviation = 9.64, 55.4% women), pain, anxiety, and depression had improved. Quality of life was higher among palliative care patients compared with patients who did not receive palliative care (t = 2.09, p = .039). Regarding recognition of palliative care, civil servants at public health centers who participated in the pilot project (2013–2014) scored higher than those at public health centers who began participation in 2015 (t = 2.67, p = .008). Conclusion: This is the first study in Korea that systematically evaluated community-based palliative care. The Busan Community-based Palliative Care Project improved the quality of life of palliative care patients by providing services at an appropriate level and by raising the recognition of palliative care in the community. To increase the utilization ratio of palliative care and the quality of service, strategies should be developed to supplement medical support systems. Keywords: Korea, palliative care, quality of life |
Databáze: | OpenAIRE |
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