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한국호스피스·완화의료학회지 = Korean journal of hospice and palliative care v.13 no.2, 2010년, pp.69 - 75   피인용횟수: 1
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

비암성 질환들의 호스피스 의뢰 기준
Hospice Medical Guideline, Non-Cancer Diseases

최윤선    (고려대학교 구로병원 가정의학과   ); 김현숙    (충주대학교 사회복지학과  );
  • 초록

    Hospice is defined by the National Hospice and Palliative Care Organization (NHPCO, USA) and WHO, as a program of care that provides comprehensive medical, nursing and support services to dying patients and their family. Despite its broad definition, however, hospice care in Korea has been focused mostly on terminal cancer patients. Thus hospice eligibility for patients with advanced cancer is relatively easier to predict than those with other fatal chronic illnesses such as heart, lung, renal or liver diseases, and dementia. This makes it more difficult for patients and families to prepare for death and gain full benefits of hospice care. This article introduces the medical guidelines for selected non-cancer patients who are expected to live for only six months, this making it possible for patients, who are nearing the end of life, to avoid unwarranted suffering.


  • 주제어

    Hospice care .   Eligibility determination .   Chronic disease .   Practice guidelines as topic.  

  • 참고문헌 (41)

    1. Choi YS. Care beyond cure. J Korean Acad Fam Med 2002;23(4 suppl):S348-51. 
    2. Sepulveda C, Marlin A, Yoshida T, Ullrich A. Palliative Care: the World Health Organization's global perspective. J Pain Symptom Manage 2002;24:91-6. 
    3. Glare P, Virik K, Jones M, Hudson M, Eychmuller S, Simes J, et al. A systematic review of physicians' survival predictions in terminally ill cancer patients. BMJ 2003;327(7408):195-8. 
    4. Lau F, Downing GM, Lesperance M, Shaw J, Kuziemsky C. Use of Palliative Performance Scale in end-of-life prognostication. J Palliat Med 2006;9(5):1066-75. 
    5. Downing M, Lau F, Lesperance M, Karlson N, Shaw J, Kuziemsky C, et al. Meta-analysis of survival prediction with Palliative Performance Scale. J Palliat Care 2007;23(4):245-52; discussion 252-4. 
    6. Olajide O, Hanson L, Usher BM, Qaqish BF, Schwartz R, Bernard S. Validation of the palliative performance scale in the acute tertiary care hospital setting. J Palliat Med 2007;10(1): 111-7. 
    7. Pirovano M, Maltoni M, Nanni O, Marinari M, Indelli M, Zaninetta G, et al. A new palliative prognostic score: a first step for the staging of terminally ill cancer patients. Italian Multicenter and Study Group on Palliative Care. J Pain Symptom Manage 1999;17(4):231-9. 
    8. Glare P, Virik K. Independent prospective validation of the PaP score in terminally ill patients referred to a hospital-based palliative medicine consultation service. J Pain Symptom Manage 2001;22(5):891-8. 
    9. Glare P, Eychmueller S, Virik K. The use of the palliative prognostic score in patients with diagnoses other than cancer. J Pain Symptom Manage 2003;26(4):883-5. 
    10. Suh SY, Choi YS, Shim JY, Kim YS, Yeom CH, Kim D, et al. Construction of a new, objective prognostic score for terminally ill cancer patients: a multicenter study. Support Care Cancer 2010; 18(2):151-7. 
    11. Ministry of Health & Welfare. Guideline for pilot project of hospice for terminal cancer patients: hospice and palliative certification. Gwacheon:Ministry of Health & Welfare;2004. 
    12. Connor SR. U.S. hospice benefits. J Pain Symptom Manage 2009;38(1):105-9. 
    13. Adams PF, Lucas JW, Barnes PM. Summary health statistics for the U.S. population: National Health Interview Survey, 2006. Vital Health Stat 10. 2008;(238):1-104. 
    14. Connor SR, Elwert F, Spence C, Christakis NA. Geographic variation in hospice use in the United States in 2002. J Pain Symptom Manage 2007;34(3):277-85. 
    15. Connor SR, Elwert F, Spence C, Christakis NA. Racial disparity in hospice use in the United States in 2002. Palliat Med 2008; 22(3):205-13. 
    16. Heron MP, Hoyert DL, Xu J, Scott C. Tejada-Vera B; Division of Vital Statistics. Deaths: Preliminary data for 2006. Natl Vital Stat Rep 2007;55(19):1-119. 
    17. 2008 statistical result of death and cause of death [internet]. Daejeon:Statistics Korea;c2009. [cited 2010 May 7]. Available from http://www.index.go.kr/egams/stts/jsp/potal/stts/PO_STTS_IdxMain.jsp?idx_cd=1012. 
    18. Coventry PA, Grande GE, Richards DA, Todd CJ. Prediction of appropriate timing of palliative care for older adults with non-malignant life-threatening disease: a systematic review. Age Ageing 2005;34(3):218-27. 
    19. Lunney JR, Lynn J, Hogan C. Profiles of older medicare decedents. J Am Geriatr Soc 2002;50(6):1108-12. 
    20. Gill TM, Gahbauer EA, Han L, Allore HG. Trajectories of disability in the last year of life. N Engl J Med 2010;362(13): 1173-80. 
    21. Stuart B. The NHO Medical Guidelines for Non-Cancer Disease and local medical review policy: hospice access for patients with diseases other than cancer. Hosp J 1999;14(3-4):139-54. 
    22. Joshi K, Guthmann R, Kishman C, Havas N. Clinical Inquiries. How do we decide when a patient with nonmalignant disease is eligible for hospice care? J Fam Pract 2006;55(6):525, 529. 
    23. NHPCO facts and figures: hospice care in America [Internet]. Alexandria, VA: National Hospice and Palliative Care Organization: c2009. [cited 2010 Mar 23]. Available from http://www. nhpco.org/files/public/Statistics_Research/NHPCO_facts_and_figure s.pdf. 
    24. Knaus WA, Harrell FE Jr, Lynn J, Goldman L, Phillips RS, Connors AF Jr, et al. The SUPPORT prognostic model. Objective estimates of survival for seriously ill hospitalized adults. Study to understand prognoses and preferences for outcomes and risks of treatments. Ann Intern Med 1995;122(3):191-203. 
    25. Fox E, Landrum-McNiff K, Zhong Z, Dawson NV, Wu AW, Lynn J. Evaluation of prognostic criteria for determining hospice eligibility in patients with advanced lung, heart, or liver disease. SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. JAMA 1999;282(17):1638-45. 
    26. Nishimura K, Izumi T, Tsukino M, Oga T. Dyspnea is a better predictor of 5-year survival than airway obstruction in patients with COPD. Chest 2002;121(5):1434-40. 
    27. Marquis K, Debigare R, Lacasse Y, LeBlanc P, Jobin J, Carrier G, et al. Midthigh muscle cross-sectional area is a better predictor of mortality than body mass index in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2002;166(6):809-13. 
    28. Hanrahan P, Luchins DJ. Feasible criteria for enrolling end-stage dementia patients in home hospice care. Hosp J 1995;10(3):47-54. 
    29. Luchins DJ, Hanrahan P, Murphy K. Criteria for enrolling dementia patients in hospice. J Am Geriatr Soc 1997;45(9): 1054-9. 
    30. Hanrahan P, Raymond M, McGowan E, Luchins DJ. Criteria for enrolling dementia patients in hospice: a replication. Am J Hosp Palliat Care 1999;16(1):395-400. 
    31. Christakis NA, Lemont EB. Extent and determinabts of eror in doctors' prognoses in terminally ill patients: prospective chort study. BMJ 2000;320(7233):469-72. 
    32. Abrahm JL, Hansen-Flaschen J. Hospice care for patients with advanced lung disease. Chest 2002;121(1):220-9. 
    33. Stuart B. Palliative care and hospice in advanced heart failure. J Palliat Med 2007;10(1):210-28. 
    34. Grbich C, Maddocks I, Paker D, Brown M, Willis E, Piller N, et al. Identification of patients with noncancer diseases for palliative care services. Palliat Support Care 2005;3(1):5-14. 
    35. Walter LC, Brand RJ, Counsell SR, Palmer RM, Landefeld CS, Fortinsky RH, et al. Development and validation of a prognostic index for 1-year mortality in older adults after hospitalization. JAMA 2001;285(23):2987-94. 
    36. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA 1963; 185:914-9. 
    37. Turner R, Rosielle D. Fast fact and concept #082. medicare hospice benefit: part 1 eligibility and treatment plan, 2nd edition [Internet]. End-of-Life/Palliative Education Resource Center;2007 [cited 2010 May 15]. Available from http://www.aahpm.org/cgi-bin/wkcgi/view?status=A%20&search=354&id=416&printerFriendly=1.997 
    38. Maltoni M, Nanni O, Pirovano M, Scarpi E, Indelli M, Martini C, et al. Successful validation of the palliative prognostic score in terminally ill cancer patients. Italian Multicenter Study Group on Palliative Care. J Pain Symptom Manage 1999;17(4):240-7. 
    39. Morita T, Tsunoda J, Inoue S, Chihara S. The Palliative Prognostic Index: a scoring system for survival prediction of terminally ill cancer patients. Support Care Cancer 1999;7(3): 128-33. 
    40. Lynn J. Perspectives on care at the close of life. Serving patients who may die soon and their families: the role of hospice and other services. JAMA 2001;285(7):925-32. 
    41. Oga T, Nishimura K, Tsukino M, Sato S, Hajiro T. Analysis of the factors related to mortality in chronic obstructive pulmonary disease: role of exercise capacity and health status. Am J Respir Crit Care Med 2003;167(4):544-9. 
  • 이 논문을 인용한 문헌 (1)

    1. Shin, Woong Jae ; Hwang, Sun Wook ; Hwang, In Cheol ; Choi, Youn Seon ; Lee, Yong Joo ; Kim, Young Sung ; Shin, Ji Sung ; Choi, Young Ho ; Rim, Da Won ; Kim, Han Sook 2016. "Unmet Medical Service Needs in Family Caregivers of Terminal Cancer Patients" 한국호스피스·완화의료학회지 = Korean journal of hospice and palliative care, 19(2): 163~169     

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