title: Development of a Community-Based Palliative Care Model for Advance Cancer Patients in Public Health Centers in Busan, Korea.
abstract: OBJECTIVE
  A feasible palliative care model for advance cancer patients is needed in Korea with its rapidly aging population and corresponding increase in cancer prevalence. This study describes the process involved in the development of a community-based palliative care (CBPC) model implemented originally in a Busan pilot project.
  
  
  METHODS
  The model development included steps I and II of the pilot project, identification of the service types, a survey exploring the community demand for palliative care, construction of an operational infrastructure, and the establishment of a service delivery system. Public health centers (including Busan regional cancer centers, palliative care centers, and social welfare centers) served as the regional hubs in the development of a palliative care model.
  
  
  RESULTS
  The palliative care project included the provision of palliative care, establishment of a support system for the operations, improvement of personnel capacity, development of an educational and promotional program, and the establishment of an assessment system to improve quality. The operational infrastructure included a service management team, provision teams, and a support team. The Busan Metropolitan City CBPC model was based on the principles of palliative care as well as the characteristics of public health centers that implemented the community health projects.
  
  
  CONCLUSIONS
  The potential use of the Busan CBPC model in Korea should be explored further through service evaluations.
authors.affiliation: Department of Nursing, Catholic University of Pusan, Busan, Korea.
authors.forename: Sook-Nam
authors.initials: SN
authors.lastname: Kim
authors.affiliation: Department of Nursing, Catholic University of Pusan, Busan, Korea.
authors.forename: Soon-Ock
authors.initials: SO
authors.lastname: Choi
authors.affiliation: Division of Hemato-Oncology, Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea.
authors.forename: Seong Hoon
authors.initials: SH
authors.lastname: Shin
authors.affiliation: Department of Aging and Social Work, Catholic University of Pusan, Busan, Korea.
authors.forename: Ji-Sun
authors.initials: JS
authors.lastname: Ryu
authors.affiliation: Industry Academic Cooperation Foundation, Catholic University of Pusan, Busan, Korea.
authors.forename: Jeong-Won
authors.initials: JW
authors.lastname: Baik
mesh_terms: D000465:Algorithms; D003153:Community Health Services / Q000379:methods / Q000458:organization & administration; D019468:Disease Management; D006301:Health Services Needs and Demand; D006801:Humans; D008962:Models, Theoretical; D009369:Neoplasms / Q000453:epidemiology* / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D010166:Palliative Care / Q000379:methods / Q000458:organization & administration; D010865:Pilot Projects; D012017:Referral and Consultation; D056910:Republic of Korea
keywords: Chronic disease; Neoplasm; Palliative care; Patients; Pilot projects