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KMID : 0856920070100030128
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Journal of Hospice and Palliative Care
2007 Volume.10 No. 3 p.128 ~ p.136
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Development of an Efficient Management Program for the Home-based Cancer Patient Management Project of Public Health Centers
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Cho Hyun
Son Joo-Young
Heo Jeom-Do
Jin Eun-Hee
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Abstract
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Purpose: The purpose of this study is to investigate the current state of the home-based cancer patient management project of public health centers throughout the country. The results of the investigation is employed to identify obstacles to the execution of the program and, finally, to develop an efficient management program of home-based cancer patients.
Methods: Data on the home-based cancer patient management project were collected and analyzed through visiting interviews or telephone interviews with 225 public health centers throughout the country for six months from July to December, 2006.
Results: Obstacles to the present execution of the home-based cancer patient management project were identified. Some of them are : (1) patients’ low trust in cancer patient management by local health centers, (2) absence of programs customized to local communities, (3) lack of personnel and vehicles for home-based cancer patient management, (4) lack of education program for personnel in charge of home-based cancer patient management, (5) problems in public health doctors, weak connection to private medical institutions, (6) absence of medical institutions and hospice facilities for cancer patients, and (7) non-standardized volunteer workers, so on. Considering all these problems, some effective management methods are proposed. The basic concept is to keep the autonomy and variety of the local helath centers. And based on this concept, three models of (1) public health center controlled model, (2) medical institutions and hospice facilities-entrusted model and (3) medical institutions and hospice facilities-cooperative model are developed.
Conclusion: By adopting an adequate model among proposed three models, the public health centers are expected to achieve an efficient utilization of material resources and manpower. In addition, by inventing their own programs that are proper for the local societies, they can improve the home-based cancer patient management.
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KEYWORD
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Public Health Centers, Home-based cancer patient, Efficient management project, Hospice, Volunteers
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