{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:01:16Z","timestamp":1793754076376,"version":"4.6.1"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100008746","name":"National Cancer Center","doi-asserted-by":"publisher","award":["NCC-2510360-1"],"award-info":[{"award-number":["NCC-2510360-1"]}],"id":[{"id":"10.13039\/100008746","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Demand for home hospice care has been increasing as it allows patients with end-stage disease to receive end-of-life care in a familiar environment. This study aimed to investigate the factors associated with home hospice utilization among patients with end-stage cancer who utilized hospice services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study employed a nationwide, retrospective analysis of data collected from the National Hospice and Palliative Care (NHPC) registry in South Korea. Data for patients with end-stage cancer who utilized hospice services were collected from 2017 to 2024. Sociodemographic and health-related factors associated with home hospice utilization were analyzed using multivariate logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 130 331 individuals analyzed, 9363 (7.2%) received home hospice care. Compared to individuals with non-family caregivers, those whose primary caregivers were their married spouses (OR 3.88, 95% CI 3.35\u20134.50) or other family members (OR 2.67, 95% CI 2.32\u20133.07) were more likely to utilize home hospice services. Additionally, individuals residing in rural areas were less likely to receive home hospice care than those in metropolitan areas (OR 0.68, 95% CI 0.65\u20130.72). The likelihood of hospice utilization was also lower in patients with impaired levels of consciousness and higher pain levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The presence of a family caregiver is associated with a higher likelihood of receiving home hospice care. Contrastingly, residing in non-metropolitan areas, poor consciousness, and higher pain levels are linked to lower utilization of these services. Expanding home hospice care is important as the number of patients needing end-of-life care grows.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/intqhc\/mzaf097","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T11:31:50Z","timestamp":1759145510000},"source":"Crossref","is-referenced-by-count":2,"title":["Factors associated with the utilization of home hospice care at end-of-life in patients with cancer: a nationwide analysis"],"prefix":"10.1093","volume":"37","author":[{"given":"Woorim","family":"Kim","sequence":"first","affiliation":[{"name":"National Hospice Center, National Cancer Control Institute, National Cancer Center , Goyang,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyuwoong","family":"Kim","sequence":"additional","affiliation":[{"name":"National Hospice Center, National Cancer Control Institute, National Cancer Center , Goyang,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Jeong","family":"Nam","sequence":"additional","affiliation":[{"name":"National Hospice Center, National Cancer Control Institute, National Cancer Center , Goyang,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su Yeon","family":"Kye","sequence":"additional","affiliation":[{"name":"National Hospice Center, National Cancer Control Institute, National Cancer Center , Goyang,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihae","family":"Park","sequence":"additional","affiliation":[{"name":"National Hospice Center, National Cancer Control Institute, National Cancer Center , Goyang,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2138-3480","authenticated-orcid":false,"given":"Jin Young","family":"Choi","sequence":"additional","affiliation":[{"name":"National Hospice Center, National Cancer Control Institute, National Cancer Center , Goyang,","place":["Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"key":"2025102421371640700_mzaf097-B1","author":"World Health Organization (WHO)","year":"2023"},{"key":"2025102421371640700_mzaf097-B2","author":"Korea Legislation Research Institute","year":"2016"},{"key":"2025102421371640700_mzaf097-B3","doi-asserted-by":"crossref","first-page":"E16","DOI":"10.1188\/16.CJON.E16-E19","article-title":"Hospice and palliative care: development and challenges in China","volume":"20","author":"Wu","year":"2016","journal-title":"Clin J Oncol Nurs"},{"key":"2025102421371640700_mzaf097-B4","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s12904-021-00757-8","article-title":"Why is hospice care important? 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