A Cross-Cultural Comparison of Hospice Development in Japan,South Korea,and Taiwan |
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Authors: | Anne P Glass Li-Kuang Chen Eunju Hwang Yuzuho Ono Lusine Nahapetyan |
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Institution: | (1) Institute of Gerontology, College of Public Health, University of Georgia, 255 East Hancock Avenue, Athens, GA 30602-5775, USA;(2) Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan;(3) Gerontology Research Centre, Simon Fraser University, Vancouver, BC, Canada;(4) Athens, GA, USA |
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Abstract: | By 2050, one out of four people in Eastern Asia will be aged 65 and above. Thus, preparing to care for an older population
is imperative. Addressing quality care for elders includes consideration of palliative and end-of-life care. A comparative
study of the development of hospice and palliative care services in Japan, South Korea, and Taiwan, is presented, based on
an extensive literature review. Both commonalities and differences were found. This article provides information on the origins
and administration of hospice services in these three cases, as well as the degree of government involvement. Cultural and
religious aspects are also considered, and obstacles to the spread of hospice services are discussed. This review compares
experiences with hospice services and identifies factors that influence people’s perceptions and adoption of hospice. Stronger
financial support for hospice and palliative care through the government and insurance programs would help increase the availability
and use of services. Also, the need for continuing education of healthcare providers, patients, families, and the community
is urgent. However, promotion of understanding of better pain management and the worth of hospice and palliative care must
be conducted in ways that are sensitive to the cultural values and traditions in Japan, South Korea, and Taiwan. Only when
hospice and palliative care can be viewed as an admirable choice for one’s loved ones, overcoming issues of truth telling,
filial piety, worries about how one is judged, and religious considerations, will it become more widely accepted. |
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