The Korean Journal of Hospice and Palliative Care

Comparison of Pediatric Palliative Care Model among United Kingdom, United States, Japan, Singapore and South Korea.

 United Kingdom United States Japan Singapore South Korea
Development•Together for Short Lives (1998) •Helen House; free-standing residential facility for children (1982)•Children’s Project on Palliative/ Hospice Services (1996) •George Mark Children’s House; free-standing residential hospice facility (2004)•National center for child health and development (2003) •Yodogawa Christian Hospital; inpatient unit for children within a general hospice facility (2002)•Star PALS (2012) •KK women’s and Children’s Hospital; specialized consultation service in a tertiary hospital (2004)•Seoul National Children’s University; specialized consultation team with multidisciplinary approach in a tertiary hospital (2015)
Policy•Policy statement; Better Care, Better Lives (2008) •The Health and Social Care Act (2008 & 2012)•Policy statement; When children die (2003) •The Patient Protection and Affordable Care Act (2010), Concurrent Care for Children Requirement.•The Basic Plan to Promote Cancer Control Programs (2012) •Strategies for specific pediatric chronic diseases (2013) •Law for Supporting Independence of Persons with Disabilities (2016)•National Strategy for Palliative Care (2012) •National Guidelines for Palliative Care (2015)•The 3rd National Cancer Control Plan (‘16~’20) (2016) •Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life (2018)
Target population•Children with life-threatening or -limiting conditions•Children with Complex Chronic Conditions•Children with cancer •Children with chronic conditions, and/or severe disabilities•Children under 19 years of age with life-limiting conditions•Children under 25 years of age with life-threatening conditions who need palliative care
Delivery system•Specialized pediatric palliative consultation team in tertiary hospitals.•Specialized pediatric palliative consultation team in tertiary hospitals•Specialized pediatric palliative consultation team in regional c ancer centers•Specialized pediatric palliative consultation team in tertiary hospitals•Specialized pediatric palliative consultation team in tertiary hospitals
•Community-based services and free-standing facilities provide home-based palliative care•Network of hospice agencies, home health agencies and children’s hospital provide home- based palliative care•Home care reimbursed by national health insurance •Support programs for disabilities provide home-based palliative- like services•Community pediatric palliative care association provide home-based palliative care •Inpatient unit for respite care and end-of-life care•Children with cancer may use inpatient, home-based, and consultative hospice service.
Financial resources•Government grants (block contract) (40~50%) and philanthropic funding •Currency pilot program (healthcare resource groups) for pediatric palliative care•Medicare hospice benefit •State and/or federal funding •Reimbursement structures are varies depending on programs,•National insurance covers inpatient hospice and home care.- additional benefit for children •Government grants and philanthropic funding for free- standing facilities•National health insurance covers inpatient hospice service •Private donation and fund raising •Funding from ministry of health for home-based palliative care•National health insurance covers inpatient, consultative, home- based hospice service for terminal cancer patients •Government grant-in-aid for pediatric pilot program
Korean J Hosp Palliat Care 2019;22:105~116
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