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Hospice and Palliative Care for the Longterm Care Service Users

Title
Hospice and Palliative Care for the Longterm Care Service Users
Author(s)

최정수 ; 이은경 ; 한은정 ; 황나미 ; 강아람 ; 최성은

Keyword
hospice & palliative care ; longterm care service
Publication Year
2015
Publisher
Korea Institute for Health and Social Affairs
Abstract
This study is aimed at drawing up service providing plan of hospice and palliative care suitable for the Longterm Care Service users and to contribute ways to activate hospice and palliative care, which plays a role in dealing effectively with symptom control and improving the quality of life for terminal patients and their families.
In order to achieve the objectives, we researched as follows. Firstly, the demand for hospice and palliative care, and the features of death of old people especially of the Longterm Care Service users were analysed through statistic data about the features of death from cancer and the use of hospice and palliative care services of cancer patients. Secondly, the preference and worries of old people related to their death in terms of dying place as well as receiving hospice and palliative care were investigated through existing survey data. Thirdly, the factors and the problems related to end of life care service provided by Longterm Care were studied based on Longterm Care use data of the Longterm Care users who died from cancer. Fourthly, focus group interviews and a online survey with managers and workers of Longterm Care facilities were proceeded under the topic on provision of Longterm Care facilities for terminally ill patient care and effective ways to provide end of life care service for the Longterm Care users. Fifthly, 'End of Life Care Strategy' of the United Kingdom(UK) and community based planning and operating cases on hospice and palliative care of the UK and Busan metropolitan city in Korea were reviewed to come up with its implications.
Table Of Contents
Abstract 1
요 약 3
제1장 서 론 11
제1절 연구 배경 및 목적 13
제2절 연구 내용 및 방법 17
제2장 사망자의 특성 및 호스피스 완화의료 이용 현황 25
제1절 사망자의 특성 28
제2절 호스피스 완화의료 이용 현황 39
제3장 고령층의 죽음 및 호스피스 완화의료 관련 인식‧태도 51
제1절 죽음 관련 인식‧태도 54
제2절 호스피스 완화의료 관련 인식‧태도 58
제4장 암으로 사망한 노인장기요양보험 급여대상자의
사망 전 의료 및 요양 서비스 이용 실태 63
제1절 노인장기요양보험 개요 65
제2절 암으로 사망한 노인장기요양보험 급여대상자의
사망 전 의료 및 요양 서비스 이용 실태 70
제5장 노인장기요양서비스 이용자의 호스피스 완화의료에 대한
노인장기요양시설(기관) 관계자의 인식 및 태도 121
제1절 FGI 결과 126
제2절 설문조사 결과 144
제6장 호스피스 완화의료 사업 전략 및 운영 사례 177
제1절 영국의 질적 임종케어를 위한 사업 및 전략 180
제2절 부산광역시 말기암환자 호스피스사업 219
제7장 결론 233
제1절 주요 결과 236
제2절 정책제언 245
참고문헌 251
부록: 호스피스완화의료 활성화를 위한 장기요양시설(기관) 조사표 259
Local ID
Research Monographs 2015-07
ISBN
978-89-6827-250-9
KIHASA Research
Subject Classification
Health care > Health care service
Social service > Welfare for older persons
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