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KMID : 0363320180390040662
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Journal of Korean Oriental Internal Medicine
2018 Volume.39 No. 4 p.662 ~ p.675
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Study of the Developmental History on Hospice?Palliative Care and Need for Korean Medicine
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Yoon Hae-Chang
Son Chang-Gue
Lee Nam-Hun
Cho Jung-Hyo
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Abstract
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Objective: The aim of this study was to establish the developmental history of hospice?palliative care (HPC) with Korean medicine (KM).
Methods: We compared the developmental history of HPC in Korea with that of Britain, the United States, Taiwan, Japan, and China. The articles in English or Korean published until Feb. 2017 were searched using ‘Hospice' or ‘Palliative care' with the name of each nation in the PubMed, MEDLINE, ScienceDirect, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) databases for foreign articles and OASIS (Oriental Medicine Advanced Searching Integrated System) for domestic articles. Books and gray literature were searched on the same databases and websites of the Ministry of Health and Welfare and related organizations in each country.
Results: Modern palliative care began with the hospice movement led by Dr. Cicely Saunders. HPC in Korea started earlier than in other countries but it took considerable time for social consensus, so Korean policies have only been published recently. In this process, KM was excluded from HPC. For this reason, western medicine in Korea does not fully accept the spirit of HPC, the government does not take an aggressive stance with KM, and the institutes of KM do not have any interest in HPC. The World Health Organization recommends the establishment of policies and programs connected with a country’s own health care system. In 2015, the Korean government made the third comprehensive plan for the development of KM. It included critical pathway guidelines about cancer-related fatigue and anorexia. More effort is required to set up HPC than other care types because Korea has two medical systems.
Conclusions: Each nation has been trying to improve systems of HPC. We need to overcome the problems and bring out the best by making our own model of HPC with KM.
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KEYWORD
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Korean medicine, hospices, palliative care, development, history
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