Respecting the preference for a place of care is essential for advance care planning in patients with advanced cancer. This retrospective study included adult patients with cancer referred to an inpatient palliative care consultation team at a tertiary acute care hospital in South Korea between April 2019 and December 2020. Patients’ preference for place of care and demographic and clinical factors were recorded, and the actual discharge locations were categorized as home or non-home. Patients discharged home but with unintended hospital visits within 2 months were also investigated. Of the 891 patients referred to the palliative care consultation team, 210 (23.6%) preferred to be discharged home. Among them, 113 (53.8%) were discharged home. No significant differences were found between patients who preferred home discharge and those who did not. Home discharge was higher among female patients (p = 0.04) and lower in those with poor oral intake (p < 0.001) or dyspnea (p = 0.02). Of the 113 patients discharged home, 37 (32.8%) had unintended hospital visits within 2 months. Approximately one-quarter of hospitalized patients with advanced cancer preferred to be discharged home, but only half of them received the home discharge. To meet patients’ preferences for end-of-life care, individual care planning considering relevant factors is necessary.
This study explores whether teenagers` traditional media use time has been affected by smartphone use time. Drawing on the Korean Media Panel Survey from 2011 to 2014, we specify two models-a two-stage least squares (2SLS) and a two-stage least squares with individual fixed effects (2SLS-FE)- and compare the estimates. The estimates from the 2SLS model show that teenagers` smartphone use time has a substitution effect on book reading time, computer use time, and TV watching time, while the estimates from the 2SLSFE model show that teenagers` smartphone use time has a substitution effect on teenagers` book reading time and computer use time but no significant effect on their TV watching time.
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