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Korean J Hosp Palliat Care 2019; 22(3): 105-116
How to Implement Quality Pediatric Palliative Care Services in South Korea: Lessons from Other Countries
Cho Hee Kim, Ph.D.*,†, Min Sun Kim, M.D.*,‡, Hee Young Shin, Ph.D.*,‡, In Gyu Song, M.D.§ and Yi Ji Moon, M.S.W.*
*Integrative Care Hub, Seoul National University Children’s Hospital, College of Nursing, Seoul National University, Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, §Central Hospice Center, National Cancer Center, Goyang, Korea
Correspondence to: Min Sun Kim
Department of Pediatrics, Seoul National University Children’s Hospital, 101, Daehak-ro, Jongno-gu, Seoul 03080, Korea
Tel: +82-2-2072-1756
Fax: +82-2-2072-3533
Received: February 2, 2019; Revised: August 16, 2019; Accepted: August 29, 2019; Published online: September 1, 2019.
© Korean Society for Hospice and Palliative Care. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Purpose: Pediatric palliative care (PPC) is emphasized as standard care for children with life-limiting conditions to improve the quality of life. In Korea, a government-funded pilot program was launched only in July 2018. Given that, this study examined various PPC delivery models in other countries to refine the PPC model in Korea. Methods: Target countries were selected based on the level of PPC provided there: the United Kingdom, the United States, Japan, and Singapore. Relevant literature, websites, and consultations from specialists were analyzed by the integrative review method. Literature search was conducted in PubMed, Google, and Google Scholar, focusing publications since 1990, and on-site visits were conducted to ensure reliability. Analysis was performed on each country’s process to develop its PPC scheme, policy, funding model, target population, delivery system, and quality assurance. Results: In the United Kingdom, community-based free-standing facilities work closely with primary care and exchange advice and referrals with specialized PPC consult teams of children’s hospitals. In the United States, hospital-based specialized PPC consult teams set up networks with hospice agencies and home healthcare agencies and provide PPC by designating care coordinators. In Japan, palliative care is provided through several services such as palliative care for cancer patients, home care for technology-dependent patients, other support services for children with disabilities and/or chronic conditions. In Singapore, a home-based PPC association plays a pivotal role in providing PPC by taking advantage of geographic accessibility and cooperating with tertiary hospitals. Conclusion: It is warranted to identify unmet needs and establish an appropriate PPD model to provide need-based individualized care and optimize PPC in South Korea.
Keywords: Palliative care, Hospice care, Pediatrics, Adolescent, Delivery of health care

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