Cancer Res Treat.  2017 Jul;49(3):559-568. 10.4143/crt.2016.276.

Development of a Community-Based Palliative Care Model for Advance Cancer Patients in Public Health Centers in Busan, Korea

• Kim SN
• Choi SO
• Shin SH
• Ryu JS
• Baik JW

• KMID: 2388301
• DOI: http://doi.org/10.4143/crt.2016.276

Abstract

PURPOSE
A feasible palliative care model for advance cancer patients is needed in Korea with its rapidly aging population and corresponding increase in cancer prevalence. This study describes the process involved in the development of a community-based palliative care (CBPC) model implemented originally in a Busan pilot project.
MATERIALS AND METHODS
The model development included steps I and II of the pilot project, identification of the service types, a survey exploring the community demand for palliative care, construction of an operational infrastructure, and the establishment of a service delivery system. Public health centers (including Busan regional cancer centers, palliative care centers, and social welfare centers) served as the regional hubs in the development of a palliative care model.
RESULTS
The palliative care project included the provision of palliative care, establishment of a support system for the operations, improvement of personnel capacity, development of an educational and promotional program, and the establishment of an assessment system to improve quality. The operational infrastructure included a service management team, provision teams, and a support team. The Busan Metropolitan City CBPC model was based on the principles of palliative care as well as the characteristics of public health centers that implemented the community health projects.
CONCLUSION
The potential use of the Busan CBPC model in Korea should be explored further through service evaluations.

Keyword

Chronic disease; Neoplasm; Patients; Palliative care; Pilot projects

MeSH Terms

Aging
Busan*
Chronic Disease
Humans
Korea*
Palliative Care*
Pilot Projects
Prevalence
Public Health*
Social Welfare

Figure

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  Fig. 1. Community-based palliative care service infrastructure.

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  Fig. 2. Service provision team structure: public health center in Busan.

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  Fig. 3. Case management pathway.

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  Fig. 4. Community-based palliative care service delivery system.

Reference

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