Korean J Hosp Palliat Care.  2013 Jun;16(2):98-107. 10.14475/kjhpc.2013.16.2.098.

The Status of Home-Based Hospice Care in Korea

Affiliations
  • 1College of Nursing, The Catholic University of Korea, Seoul, Korea.
  • 2Mohyun Hospice Center, Pocheon, Korea.
  • 3Department of Nursing, Kyungdong University, Wonju, Korea. jungyun-67@hanmail.net

Abstract

PURPOSE
This study was conducted to investigate how home-based hospice care is provided in Korea.
METHODS
From July 2011 through August 2011, 29 hospice facilities that provide home-based hospice care were surveyed using a questionnaire. Items included in the questionnaire were general characteristics of the organization, staff members, service programs, difficulties.
RESULTS
Among the surveyed, hospice care was hospital-based for 11 (37.9%) facilities, hospital-independent center-based care for four (13.8%) and home-based care only for 10 (34.5%). Near half the participants were located in Seoul and Gyeonggi-do. Caregivers included nurses for 62.1% of the participants, volunteers 62.0%, pastors 44.8%, social workers 37.9%, coordinators 31.0% and doctors 31.0%. The facilities offered service programs such as family counseling (96.6%), transfer to other facilities (93.1%), psychological support (89.7%), bereavement support (86.2%), dying care (79.3%), clinical care (75.9%) and spiritual support (75.9%). The major obstacles were financial issues (24.1%), lack of trained staff (20.7%) and staff members' lack of awareness of home-based hospice care (13.8%).
CONCLUSION
In Korea, home-based hospice care is provided by an insufficient number of facilities. Moreover, the service providers are experiencing difficulties such as lack of trained staff, insufficient financial resource and staff's lack of awareness of home-based hospice care. It is necessary to increase the number of home-based hospice care facilities with consideration of even distribution across regions and standard staffing and service programs and develop related insurance policies.

Keyword

Hospice care; Home care services; Health services

MeSH Terms

Bereavement
Caregivers
Counseling
Health Services
Home Care Services
Hospice Care
Hospices
Humans
Insurance
Korea
Social Workers
Surveys and Questionnaires
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