Design of a Hospice Referral System for Terminally Ill Cancer Patients Using a Standards- Based Health Information Exchange System

임가현; 김정훈; 유수영; 허은영; 지혜림; 강버들

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자료유형: 학술저널

저자정보: 임가현 김정훈 유수영 허은영 지혜림 강버들

저널정보: 대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제24권 제4호

발행연도: 2018.1

수록면: 317 - 326 (10page)

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Objectives: The demand for hospice has been increasing among patients with cancer. This study examined the current hospice referral scenario for terminally ill cancer patients and created a data form to collect hospice information and a modified health information exchange (HIE) form for a more efficient referral system for terminally ill cancer patients. Methods: Surveys were conducted asking detailed information such as medical instruments and patient admission policies of hospices, and interviews were held to examine the current referral flow and any additional requirements. A task force team was organized to analyze the results of the interviews and surveys. Results: Six hospices completed the survey, and 3 physicians, 2 nurses, and 2 hospital staff from a tertiary hospital were interviewed. Seven categories were defined as essential for establishing hospice data. Ten categories and 40 data items were newly suggested for the existing HIE document form. An implementation guide for the Consolidated Clinical Document Architecture developed by Health Level 7 (HL7 CCDA) was also proposed. It is an international standard for interoperability that provides a framework for the exchange, integration, sharing, and retrieval of electronic health information. Based on these changes, a hospice referral scenario for terminally ill cancer patients was designed. Conclusions: Our findings show potential improvements that can be made to the current hospice referral system for terminally ill cancer patients. To make the referral system useful in practice, governmental efforts and investments are needed.

참고문헌 (17)

참고문헌 신청

Hemati Z / 2016 / Dying with dignity: a concept analysis / J Clin Nurs 25(9-10):1218~1228

Jordhoy MS / 2001 / Quality of life in palliative cancer care : results from a cluster randomized trial / J Clin Oncol 19(18):3884~3894

De Palma R / 2018 / Effectiveness of palliative care services : a population-based study of end-of-life care for cancer patients / Palliat Med 32(8):1344~1352

Worldwide Palliative Care Alliance / 2014 / Global atlas of palliative care at the end of life / Worldwide Palliative Care Alliance

Treating patients with cancer: reason for being popular, hospice care / Hankyung.com

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