{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:58:13Z","timestamp":1792036693038,"version":"4.4.0"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"unspecified","delay-in-days":306,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525100916_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Despite the increasing implementation of consultation-based hospice palliative care teams in tertiary hospitals of Korea, there is limited research on their impact on self-determination respect rates. Understanding this impact is crucial for improving end-of-life care practices and respecting patient autonomy. The aim of this study is to assess the trends in self-determination respect rates regarding advance care planning before and after the introduction of a consultation-based hospice palliative care team in a tertiary hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100916_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective observational study was conducted using medical records from a tertiary hospital in Korea from March 2018 to December 2023. The study included all patients aged 19 years and older with medical records at a tertiary hospital during the specified period. We examined the characteristics of patients referred to the palliative care team, the effects of the consultation-based hospice palliative care team on the completion rates of advanced care planning, and changes in self-determination respect rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100916_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Following the introduction of the consultation-based hospice palliative care team, 411 patients were referred. The proportion of patients with completed advance care planning increased from 27.0% to 60.6% (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). The overall number of advanced care planning completions and the self-determination respect rate also showed a marked increase, particularly from 2021 to 2022, when the respect rate spiked from 27.6% to 43.2%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100916_sec4d\">\n                    <jats:title>Significance of Results<\/jats:title>\n                    <jats:p>Introduction of a consultation-based hospice palliative care team improved the respect for patient self-determination in end-of-life care decisions. These findings support the integration of hospice care teams in tertiary hospitals to enhance early and informed end-of-life decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525100916","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T09:33:50Z","timestamp":1762162430000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Impact of consultation-based hospice palliative care team on self-determination respect rates"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9021-5870","authenticated-orcid":false,"given":"Hea Lim","family":"Choi","sequence":"first","affiliation":[{"name":"Samsung Advanced Institute of Health Science and Technology (SAIHST), Sungkyunkwan University"},{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong Ah","family":"Kim","sequence":"additional","affiliation":[{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mi Hyeon","family":"Seo","sequence":"additional","affiliation":[{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Jeong","family":"Lee","sequence":"additional","affiliation":[{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu Jeong","family":"Heo","sequence":"additional","affiliation":[{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung Won","family":"Kim","sequence":"additional","affiliation":[{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoona","family":"Lee","sequence":"additional","affiliation":[{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In Young","family":"Cho","sequence":"additional","affiliation":[{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"},{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Eun","family":"Yoon","sequence":"additional","affiliation":[{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"},{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Wook","family":"Shin","sequence":"additional","affiliation":[{"name":"Samsung Advanced Institute of Health Science and Technology (SAIHST), Sungkyunkwan University"},{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"},{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"},{"name":"Samsung Medical Center, Sungkyunkwan University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"S1478951525100916_ref26","doi-asserted-by":"publisher","DOI":"10.1177\/1049909120969959"},{"key":"S1478951525100916_ref9","first-page":"32","article-title":"The 2nd five-year masterplan for life-sustaining treatment: Key features and tasks","volume":"10","author":"Go","year":"2024","journal-title":"Health and Welfare Policy Forum"},{"key":"S1478951525100916_ref30","unstructured":"National Hospice Center (2023) 2022 National hospice and palliative care annual report. Available at https:\/\/hospice.go.kr:8444\/index.html?menuno=22&bbsno=407&boardno=9&ztag=rO0ABXQANzxjYWxsIHR5cGU9ImJvYXJkIiBubz0iOSIgc2tpbj0iaG9zcGljZV9ub3JtYWwiPjwvY2FsbD4%3D&siteno=1&act=view (accessed June 18 2024 )."},{"key":"S1478951525100916_ref27","unstructured":"Ministry of Government Legislation (2016) Act on hospice and palliative care and decisions on life-sustaining treatment for patients at the end of life. Available at https:\/\/elaw.klri.re.kr\/eng_service\/lawView.do?hseq=49372&lang=ENG (accessed July 09 2025 )."},{"key":"S1478951525100916_ref37","doi-asserted-by":"publisher","DOI":"10.1188\/14.CJON.707-711"},{"key":"S1478951525100916_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2020-002291"},{"key":"S1478951525100916_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01333-y"},{"key":"S1478951525100916_ref19","doi-asserted-by":"publisher","DOI":"10.14475\/jhpc.2024.27.1.31"},{"key":"S1478951525100916_ref32","unstructured":"Organization WH (2014) Strengthening of palliative care as a component of integrated treatment within the continuum of care. In: 134th session of the world health assembly."},{"key":"S1478951525100916_ref22","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119851511"},{"key":"S1478951525100916_ref34","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0172"},{"key":"S1478951525100916_ref23","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2014.60.2334"},{"key":"S1478951525100916_ref12","first-page":"419","article-title":"Changes of end of life practices for cancer patients and their association with hospice palliative care referral over 2009-2014: A single institution study","volume":"52","author":"Jho","year":"2019","journal-title":"CRT"},{"key":"S1478951525100916_ref20","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-024-01459-7"},{"key":"S1478951525100916_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318781417"},{"key":"S1478951525100916_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.06.019"},{"key":"S1478951525100916_ref33","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2021-003066"},{"key":"S1478951525100916_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2023.04.014"},{"key":"S1478951525100916_ref3","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.6313"},{"key":"S1478951525100916_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-023-01060-9"},{"key":"S1478951525100916_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0377-1237(02)80050-8"},{"key":"S1478951525100916_ref14","first-page":"8","article-title":"Hospice and palliative care policy in Korea","volume":"20","author":"Kim","year":"2017","journal-title":"Journal of Hospice and Palliative Care"},{"key":"S1478951525100916_ref17","doi-asserted-by":"publisher","DOI":"10.52937\/hira.24.4.1.e1"},{"key":"S1478951525100916_ref10","doi-asserted-by":"publisher","DOI":"10.1191\/0269216304pm846oa"},{"key":"S1478951525100916_ref31","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2005.8.1033"},{"key":"S1478951525100916_ref25","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/56.2.119"},{"key":"S1478951525100916_ref8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j2925"},{"key":"S1478951525100916_ref16","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2022079"},{"key":"S1478951525100916_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2014.12.030"},{"key":"S1478951525100916_ref35","first-page":"114","article-title":"A systematic review of factors affecting quality of life and quality of death in hospice and palliative care users","volume":"43","author":"Shin","year":"2023","journal-title":"Health and Social Welfare Review"},{"key":"S1478951525100916_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00759-6"},{"key":"S1478951525100916_ref28","unstructured":"Ministry of Health and Welfare (2020) Management of life-sustaining treatment. Available at: https:\/\/www.lst.go.kr\/comm\/referenceDetail.do?pgNo=&cate=&searchOption=0&searchText=&bno=2115 (accessed 16 June 2024 )."},{"key":"S1478951525100916_ref36","article-title":"Defining advance care planning for adults: A consensus definition from a multidisciplinary delphi panel","volume":"53","author":"Sudore","year":"2017","journal-title":"Journal of Pain and Symptom Management."},{"key":"S1478951525100916_ref6","volume-title":"Global Atlas of Palliative Care at the End of Life","author":"Connor","year":"2014"},{"key":"S1478951525100916_ref24","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.0750"},{"key":"S1478951525100916_ref7","first-page":"99","article-title":"A review of the trials which examine early integration of outpatient and home palliative care for patients with serious illnesses","volume":"4","author":"Davis","year":"2015","journal-title":"Annals of Palliative Medicine"},{"key":"S1478951525100916_ref29","unstructured":"National Cancer Institute (2021) End-of-Life care for people who have cancer. Available at https:\/\/www.cancer.gov\/about-cancer\/advanced-cancer\/care-choices\/care-fact-sheet (accessed June 17 2024 )."}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525100916","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T09:33:54Z","timestamp":1762162434000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525100916\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":37,"alternative-id":["S1478951525100916"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525100916","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e197"}}