Late referral to palliative care services in Korea

Young Ji Baek, Dong Wook Shin, Jin Young Choi, Jina Kang, Ha Na Mo, Yang Hyeok Kim, Sohee Kim, Kyu Won Jung, Jisoo Joo, Euncheol Park

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Context: Although timely referral to palliative care services can help improve quality of life by minimizing patient and family suffering during a life-threatening illness, it remains unclear whether patients in Korea who suffer from advanced cancer are referred to palliative care services in a timely manner. Objectives: We aimed to investigate the timeliness of patient referral to palliative care services in Korea by examining the duration of survival after enrollment and identify the factors contributing to earlier or later referral. Methods: Patient- and episode-level data were collected from 3867 terminal cancer patients, who were registered in 34 inpatient palliative care services designated by the Ministry of Health, Welfare, and Family Affairs. Cox proportional hazard models were used to determine factors associated with the duration of survival after enrollment in palliative care services. Results: The median duration of survival after enrollment in palliative care services was 18 days. Male sex, liver cancer diagnosis, poor performance status, being covered by National Health Insurance, and being married were significantly associated with shorter duration of survival after enrollment, whereas a prostate cancer diagnosis was associated with longer survival. Conclusion: Korean terminal cancer patients are referred to palliative care very late, and the timing appears to be influenced by some socioeconomic and medical factors. Interventions, such as physician education and establishing palliative care teams, are required to promote earlier referrals in Korea.

Original languageEnglish
Pages (from-to)692-699
Number of pages8
JournalJournal of Pain and Symptom Management
Volume41
Issue number4
DOIs
Publication statusPublished - 2011 Apr 1

Fingerprint

Korea
Palliative Care
Referral and Consultation
Survival
Neoplasms
Family Health
National Health Programs
Liver Neoplasms
Proportional Hazards Models
Inpatients
Prostatic Neoplasms
Quality of Life
Physicians
Education

All Science Journal Classification (ASJC) codes

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Baek, Young Ji ; Shin, Dong Wook ; Choi, Jin Young ; Kang, Jina ; Mo, Ha Na ; Kim, Yang Hyeok ; Kim, Sohee ; Jung, Kyu Won ; Joo, Jisoo ; Park, Euncheol. / Late referral to palliative care services in Korea. In: Journal of Pain and Symptom Management. 2011 ; Vol. 41, No. 4. pp. 692-699.
@article{753477f5fdfc4da68b705423b1a65bbd,
title = "Late referral to palliative care services in Korea",
abstract = "Context: Although timely referral to palliative care services can help improve quality of life by minimizing patient and family suffering during a life-threatening illness, it remains unclear whether patients in Korea who suffer from advanced cancer are referred to palliative care services in a timely manner. Objectives: We aimed to investigate the timeliness of patient referral to palliative care services in Korea by examining the duration of survival after enrollment and identify the factors contributing to earlier or later referral. Methods: Patient- and episode-level data were collected from 3867 terminal cancer patients, who were registered in 34 inpatient palliative care services designated by the Ministry of Health, Welfare, and Family Affairs. Cox proportional hazard models were used to determine factors associated with the duration of survival after enrollment in palliative care services. Results: The median duration of survival after enrollment in palliative care services was 18 days. Male sex, liver cancer diagnosis, poor performance status, being covered by National Health Insurance, and being married were significantly associated with shorter duration of survival after enrollment, whereas a prostate cancer diagnosis was associated with longer survival. Conclusion: Korean terminal cancer patients are referred to palliative care very late, and the timing appears to be influenced by some socioeconomic and medical factors. Interventions, such as physician education and establishing palliative care teams, are required to promote earlier referrals in Korea.",
author = "Baek, {Young Ji} and Shin, {Dong Wook} and Choi, {Jin Young} and Jina Kang and Mo, {Ha Na} and Kim, {Yang Hyeok} and Sohee Kim and Jung, {Kyu Won} and Jisoo Joo and Euncheol Park",
year = "2011",
month = "4",
day = "1",
doi = "10.1016/j.jpainsymman.2010.06.019",
language = "English",
volume = "41",
pages = "692--699",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "4",

}

Baek, YJ, Shin, DW, Choi, JY, Kang, J, Mo, HN, Kim, YH, Kim, S, Jung, KW, Joo, J & Park, E 2011, 'Late referral to palliative care services in Korea', Journal of Pain and Symptom Management, vol. 41, no. 4, pp. 692-699. https://doi.org/10.1016/j.jpainsymman.2010.06.019

Late referral to palliative care services in Korea. / Baek, Young Ji; Shin, Dong Wook; Choi, Jin Young; Kang, Jina; Mo, Ha Na; Kim, Yang Hyeok; Kim, Sohee; Jung, Kyu Won; Joo, Jisoo; Park, Euncheol.

In: Journal of Pain and Symptom Management, Vol. 41, No. 4, 01.04.2011, p. 692-699.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Late referral to palliative care services in Korea

AU - Baek, Young Ji

AU - Shin, Dong Wook

AU - Choi, Jin Young

AU - Kang, Jina

AU - Mo, Ha Na

AU - Kim, Yang Hyeok

AU - Kim, Sohee

AU - Jung, Kyu Won

AU - Joo, Jisoo

AU - Park, Euncheol

PY - 2011/4/1

Y1 - 2011/4/1

N2 - Context: Although timely referral to palliative care services can help improve quality of life by minimizing patient and family suffering during a life-threatening illness, it remains unclear whether patients in Korea who suffer from advanced cancer are referred to palliative care services in a timely manner. Objectives: We aimed to investigate the timeliness of patient referral to palliative care services in Korea by examining the duration of survival after enrollment and identify the factors contributing to earlier or later referral. Methods: Patient- and episode-level data were collected from 3867 terminal cancer patients, who were registered in 34 inpatient palliative care services designated by the Ministry of Health, Welfare, and Family Affairs. Cox proportional hazard models were used to determine factors associated with the duration of survival after enrollment in palliative care services. Results: The median duration of survival after enrollment in palliative care services was 18 days. Male sex, liver cancer diagnosis, poor performance status, being covered by National Health Insurance, and being married were significantly associated with shorter duration of survival after enrollment, whereas a prostate cancer diagnosis was associated with longer survival. Conclusion: Korean terminal cancer patients are referred to palliative care very late, and the timing appears to be influenced by some socioeconomic and medical factors. Interventions, such as physician education and establishing palliative care teams, are required to promote earlier referrals in Korea.

AB - Context: Although timely referral to palliative care services can help improve quality of life by minimizing patient and family suffering during a life-threatening illness, it remains unclear whether patients in Korea who suffer from advanced cancer are referred to palliative care services in a timely manner. Objectives: We aimed to investigate the timeliness of patient referral to palliative care services in Korea by examining the duration of survival after enrollment and identify the factors contributing to earlier or later referral. Methods: Patient- and episode-level data were collected from 3867 terminal cancer patients, who were registered in 34 inpatient palliative care services designated by the Ministry of Health, Welfare, and Family Affairs. Cox proportional hazard models were used to determine factors associated with the duration of survival after enrollment in palliative care services. Results: The median duration of survival after enrollment in palliative care services was 18 days. Male sex, liver cancer diagnosis, poor performance status, being covered by National Health Insurance, and being married were significantly associated with shorter duration of survival after enrollment, whereas a prostate cancer diagnosis was associated with longer survival. Conclusion: Korean terminal cancer patients are referred to palliative care very late, and the timing appears to be influenced by some socioeconomic and medical factors. Interventions, such as physician education and establishing palliative care teams, are required to promote earlier referrals in Korea.

UR - http://www.scopus.com/inward/record.url?scp=79953869323&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79953869323&partnerID=8YFLogxK

U2 - 10.1016/j.jpainsymman.2010.06.019

DO - 10.1016/j.jpainsymman.2010.06.019

M3 - Article

VL - 41

SP - 692

EP - 699

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 4

ER -