Korean J Fam Pract. 2018; 8(3): 386-390  https://doi.org/10.21215/kjfp.2018.8.3.386
Change in Hospital Using Pattern after Palliative Home Care Program
Kyung-Hwan Youn, Jung-Im Gwak*, Jae-Young Bang, Eun-Ju Lee
Department of Family Medicine, Anyang SAM Hospital, Anyang, Korea
Jung-Im Gwak
Tel: +82-31-467-9161, Fax: +82-31-449-0151
E-mail: euridiche@hanmail.net
ORCID: http://orcid.org/0000-0002-8874-0518
Received: May 11, 2017; Revised: June 27, 2017; Accepted: July 26, 2017; Published online: June 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The palliative home care pilot program was started in Korea in December 2015, to continue caring for patients with terminal cancer who had been discharged. In the past, palliative home care was offered by a visiting nurse, but a physician home visit was added to the new program. The present study examined the new program to assess whether patients’ hospital usage patterns had changed.
Methods: We examined 49 patients who had used the new program from March 2016 to 2017, and 71 patients who used the existing palliative home care program from February 2012 to November 2015 served as the control group. We analyzed the baseline hospital usage patterns of the patients by carrying out a chi-square test for the univariate data.
Results: The number of outpatient visits by patients did not decrease significantly (P=0.705); however, the number of outpatient visits by caregivers (P=0.000) and emergency room visits (P=0.068) decreased significantly. Meanwhile, the number of nurse’s home visits and patient’s survival time did not differ significantly between the two groups.
Conclusion: Hospital utilization among patients with terminal cancer can be reduced by providing palliative home care.
Keywords: Palliative Care; Hospice; Home Visit, Visiting Nurse
  1. Cancer Facts & Figures 2016 [Internet]. Goyang: Ministry of Health and welfare. 2017:11-24 [cited 2017 Jan 11].
  2. National Health Insurance Service. Hospice and palliative care activation plan [Internet]. Wonju: National Health Insurance Service; 2014: 76-80 [cited 2017 Apr 24].
  3. Choi JK, Tae YH, Choi YS. Introduce and promote the Home-based Hospice and Palliative Care. Korean J Hosp Palliat Care 2015; 18: 219-26.
  4. National Cancer Center. Guideline of palliative home care health insurance pilot program [Internet]. Goyang: National Cancer Center. Hospice and palliative care; 2016 [cited 2017 Apr 24].
  5. Kang SH, Lee HY, Kim JS, Lee JK, Jung HK. Home-based Hospice-palliative Care Service Administered at University-based Family Practice. Korean J Acad Fam Med 2006; 27: 889-94.
  6. Tan WS, Lee A, Yang SY, Chan S, Wu HY, Ng CW, et al. Integrating palliative care across settings: a retrospective cohort study of a hospice home care programme for cancer patients. Palliat Med 2016; 30: 634-41.
    Pubmed CrossRef
  7. McLaughlin D, Sullivan K, Hasson F. Hospice at home service: the carer's perspective. Support Care Cancer 2007; 15: 163-70.
    Pubmed CrossRef
  8. Hsu HC, Shyu YI. Implicit exchanges in family caregiving for frail elders in Taiwan. Qual Health Res 2003; 13: 1078-93.
    Pubmed CrossRef
  9. Mok E, Chan F, Chan V, Yeung E. Family experience caring for terminally ill patients with cancer in Hong Kong. Cancer Nurs 2003; 26: 267-75.
    Pubmed CrossRef

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