Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study
Respecting the preference for a place of care is essential for advance care planning in patients with advanced cancer. This retrospective study included adult patients with cancer referred to an inpatient palliative care consultation team at a tertiary acute care hospital in South Korea between Apri...
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MDPI AG
2023-07-01
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| Online Access: | https://www.mdpi.com/2227-9032/11/13/1939 |
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| author | In Young Hwang Yohan Han Min Sun Kim Kyae Hyung Kim Belong Cho Wonho Choi Yejin Kim Shin Hye Yoo Sun Young Lee |
| author_facet | In Young Hwang Yohan Han Min Sun Kim Kyae Hyung Kim Belong Cho Wonho Choi Yejin Kim Shin Hye Yoo Sun Young Lee |
| author_sort | In Young Hwang |
| collection | DOAJ |
| description | Respecting the preference for a place of care is essential for advance care planning in patients with advanced cancer. This retrospective study included adult patients with cancer referred to an inpatient palliative care consultation team at a tertiary acute care hospital in South Korea between April 2019 and December 2020. Patients’ preference for place of care and demographic and clinical factors were recorded, and the actual discharge locations were categorized as home or non-home. Patients discharged home but with unintended hospital visits within 2 months were also investigated. Of the 891 patients referred to the palliative care consultation team, 210 (23.6%) preferred to be discharged home. Among them, 113 (53.8%) were discharged home. No significant differences were found between patients who preferred home discharge and those who did not. Home discharge was higher among female patients (<i>p</i> = 0.04) and lower in those with poor oral intake (<i>p</i> < 0.001) or dyspnea (<i>p</i> = 0.02). Of the 113 patients discharged home, 37 (32.8%) had unintended hospital visits within 2 months. Approximately one-quarter of hospitalized patients with advanced cancer preferred to be discharged home, but only half of them received the home discharge. To meet patients’ preferences for end-of-life care, individual care planning considering relevant factors is necessary. |
| first_indexed | 2024-03-11T01:41:07Z |
| format | Article |
| id | doaj.art-779e1e8259cd467a88cebc92a6f81c24 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T01:41:07Z |
| publishDate | 2023-07-01 |
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| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-779e1e8259cd467a88cebc92a6f81c242023-11-18T16:37:17ZengMDPI AGHealthcare2227-90322023-07-011113193910.3390/healthcare11131939Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort StudyIn Young Hwang0Yohan Han1Min Sun Kim2Kyae Hyung Kim3Belong Cho4Wonho Choi5Yejin Kim6Shin Hye Yoo7Sun Young Lee8Public Healthcare Center, Seoul National University Hospital, Seoul 03080, Republic of KoreaPublic Healthcare Center, Seoul National University Hospital, Seoul 03080, Republic of KoreaPublic Healthcare Center, Seoul National University Hospital, Seoul 03080, Republic of KoreaPublic Healthcare Center, Seoul National University Hospital, Seoul 03080, Republic of KoreaPublic Healthcare Center, Seoul National University Hospital, Seoul 03080, Republic of KoreaCenter for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul 03080, Republic of KoreaCenter for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul 03080, Republic of KoreaCenter for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul 03080, Republic of KoreaPublic Healthcare Center, Seoul National University Hospital, Seoul 03080, Republic of KoreaRespecting the preference for a place of care is essential for advance care planning in patients with advanced cancer. This retrospective study included adult patients with cancer referred to an inpatient palliative care consultation team at a tertiary acute care hospital in South Korea between April 2019 and December 2020. Patients’ preference for place of care and demographic and clinical factors were recorded, and the actual discharge locations were categorized as home or non-home. Patients discharged home but with unintended hospital visits within 2 months were also investigated. Of the 891 patients referred to the palliative care consultation team, 210 (23.6%) preferred to be discharged home. Among them, 113 (53.8%) were discharged home. No significant differences were found between patients who preferred home discharge and those who did not. Home discharge was higher among female patients (<i>p</i> = 0.04) and lower in those with poor oral intake (<i>p</i> < 0.001) or dyspnea (<i>p</i> = 0.02). Of the 113 patients discharged home, 37 (32.8%) had unintended hospital visits within 2 months. Approximately one-quarter of hospitalized patients with advanced cancer preferred to be discharged home, but only half of them received the home discharge. To meet patients’ preferences for end-of-life care, individual care planning considering relevant factors is necessary.https://www.mdpi.com/2227-9032/11/13/1939neoplasmspalliative carepatient dischargepatient preferenceretrospective studiestertiary care centers |
| spellingShingle | In Young Hwang Yohan Han Min Sun Kim Kyae Hyung Kim Belong Cho Wonho Choi Yejin Kim Shin Hye Yoo Sun Young Lee Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study Healthcare neoplasms palliative care patient discharge patient preference retrospective studies tertiary care centers |
| title | Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study |
| title_full | Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study |
| title_fullStr | Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study |
| title_full_unstemmed | Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study |
| title_short | Preferred versus Actual Place of Care and Factors Associated with Home Discharge among Korean Patients with Advanced Cancer: A Retrospective Cohort Study |
| title_sort | preferred versus actual place of care and factors associated with home discharge among korean patients with advanced cancer a retrospective cohort study |
| topic | neoplasms palliative care patient discharge patient preference retrospective studies tertiary care centers |
| url | https://www.mdpi.com/2227-9032/11/13/1939 |
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