지역사회기반 호스피스완화케어에서의 의료지원서비스 요구분석
A Need Analysis for Medical Supporting Service as a Part of Community-based Hospice Palliative Care
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Objectives : This study was conducted to investigate the need of medical supporting service (MSS) as a part of community-based hospice palliative care from the view point of beneficiaries and providers. Methods : This study adopted a methodological triangulation design. A questionnaire regarding intention to use MSS was completed by 175 patients under home-based cancer patient management program. And three focus groups consisted of hospice nurses, public health physicians, and public officials were interviewed to obtain the perceived needs, obstacles, and solutions of MSS. Results : Mean age of home-based cancer patient was 70.18 year old, 48.0% of them were living alone. Only 53.7% of them were treated pain and 93.7% intend to take pain medication prescribed by public health physician. All participants of focus group interviews agreed necessity and importance of MSS. Physicians' lack of confidence and unwillingness to prescribe opioid to terminal patients was the biggest obstacle to provide MSS in the public health center. Conclusions : The necessity and demand of MSS for community-dwelling cancer patients were verified. MSS is urgent issue to meet their needs.
Abstract
Objectives : This study was conducted to investigate the need of medical supporting service (MSS) as a part of community-based hospice palliative care from the view point of beneficiaries and providers. Methods : This study adopted a methodological triangulation design. A questionnaire regarding intention to use MSS was completed by 175 patients under home-based cancer patient management program. And three focus groups consisted of hospice nurses, public health physicians, and public officials were interviewed to obtain the perceived needs, obstacles, and solutions of MSS. Results : Mean age of home-based cancer patient was 70.18 year old, 48.0% of them were living alone. Only 53.7% of them were treated pain and 93.7% intend to take pain medication prescribed by public health physician. All participants of focus group interviews agreed necessity and importance of MSS. Physicians' lack of confidence and unwillingness to prescribe opioid to terminal patients was the biggest obstacle to provide MSS in the public health center. Conclusions : The necessity and demand of MSS for community-dwelling cancer patients were verified. MSS is urgent issue to meet their needs.
참고문헌 (16)
- Worldwide Palliative Care Alliance, World Health Organization, Global atlas of palliative care at the end of life, "Worldwide Palliative Care Alliance", 9~ (2014)
- 김숙남, "보건소 중심 호스피스 운영모델 개발- 부산지역 일개 보건소 시범사업을 중심으로 -", 한국호스피스완화의료학회지, 13(2), pp.109~119 (2010), 한국호스피스완화의료학회
- "Korean Statistical Information Service"[URL]
- "National Cancer Center"[URL]
- Busan Social Welfare Statistics, "Busan Social Welfare Development Institute", 67~123 (2014)
- Hospice Palliative Care Center Busan Metropolitan City annual report, "S. N. Kim", Hospice Palliative Care Center Busan Metropolitan City, 12~45 (2015)
- 김우정, "재가암환자 질병관련 특성에 따른 증상 경험 및 제공받은 서비스 분석", Asian Oncology Nursing, 13(2), pp.67~75 (2013), 대한종양간호학회
- 이주형, "보건소 재가암환자 관리사업 대상자의 서비스 요구도분석", 농촌의학.지역보건, 36(4), pp.238~250 (2011), 한국농촌의학.지역보건학회
- P. H. Rossi, "Evaluation: A systematic approach", pp.120~121 (1999), SAGE
- B. S. Lee, "The perception and the needs for hospice and palliative care services by a public health center in the residents of a rural area", Keimyung Journal of Nursing Science, 12(1), pp.23~32 (2008)
- 박정숙, "보건소 등록 재가 암환자의 암증상, 주관적 건강상태 및 제공받은 간호서비스", Asian Oncology Nursing, 10(1), pp.48~58 (2010), 대한종양간호학회
- 진은희, "보건소 재가 암환자 관리사업의 효율적 관리 방안 개발", 한국호스피스완화의료학회지, 10(3), pp.128~136 (2007), 한국호스피스완화의료학회
- 허정식, "제주지역에서의 호스피스ㆍ완화의료기관과 보건소의 재가암 관리 현황", 한국호스피스완화의료학회지, 13(2), pp.76~80 (2010), 한국호스피스완화의료학회
- H. Cho, "A study on demand and the supply for home-based cancer patient management projects of public health centers", Korean J Hospice Palliative Care, 6(1), pp.195~201 (2007)
- R. A. Kruger, "Analyzing & Reporting Focus Group Results", pp.68~72 (1998), SAGE
- 백정원, "부산시민이 인식하는 좋은 죽음과 호스피스에 대한 연구‡", 보건의료산업학회지, 10(3), pp.85~97 (2016), 보건의료산업학회