Korean J Hosp Palliat Care.  2015 Sep;18(3):219-226. 10.14475/kjhpc.2015.18.3.219.

Introduce and Promote the Home-based Hospice and Palliative Care

Affiliations
  • 1National Health Insurance Service Ilsan Hospital, Institute of Health Insurance & Clinical Research, Goyang, Korea.
  • 2National Health Insurance Service, Health Insurance Policy Research Institute, Seoul, Korea. water1327@nhis.or.kr

Abstract

PURPOSE
This study was conducted to understand public perception of home-based hospice and identify related factors.
METHODS
Between August 19, 2014 and August 30, 2014, data were collected using an E-mail questionnaire that was filled by 1,500 adults who were over 20 years of age. Data were analyzed using descriptive statistics, chi2-test and logistic regression.
RESULTS
Among the respondents, 15.9% were aware of home-based hospice care, and 61.3% were willing to receive home-based hospice care. The factors that influenced the participants' willingness to use home-based hospice services included residential district, religion and private health insurance. Respondents who lived in Seoul (OR: 1.56, 95% CI: 1.04~2.33), Gwangju/Jeolla province (OR: 2.02, 95% CI: 1.23~3.32), Busan/Ulsan/South Gyeongsang province (OR: 1.81, 95% CI: 1.17~2.82) were more well-aware of home-based hospice care than those who lived in Incheon/Gyeonggi province. The faithful were more informed about the services than those without non-faithful participants (Roman Catholics (OR: 2.03, 95% CI: 1.30~3.17), Protestants (OR: 1.76, 95% CI: 1.22~2.53). Participants who had a private health insurance plan knew more about the services than those without one (OR: 1.45, 95% CI: 1.03~2.04).
CONCLUSION
First, it is necessary to improve perception of the public and healthcare providers regarding home-based hospice care. The government should review a measure to institutionalize operation of a palliative care team at hospitals and community home-based hospice care centers.

Keyword

Hospice care; Home care services; Perception; Health policy

MeSH Terms

Adult
Surveys and Questionnaires
Electronic Mail
Health Personnel
Health Policy
Home Care Services
Hospice Care
Hospices*
Humans
Insurance, Health
Logistic Models
Palliative Care*
Protestantism
Seoul
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