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This retrospective observational study examined healthcare needs and patient characteristics among users of a hospital-affiliated, physician-led home-based medical care program in Korea from 2020 to 2023. By disease category, the study assessed factors linked to emergency department visits within 30 days after a home visit, using multivariable logistic regression.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/home-healthcare-needs-and-characteristics-of-patients-with-serious-illnesses-who-use-hospital-affiliated-home-based-medical-care-in-korea/405731/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/home-healthcare-needs-and-characteristics-of-patients-with-serious-illnesses-who-use-hospital-affiliated-home-based-medical-care-in-korea/405731.png","ImageObject",300,407,{"name":92,"@type":93},"Asher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What was the purpose of the study?","Question",{"text":112,"@type":113},"To examine healthcare needs and patient characteristics among users of a hospital-affiliated physician-led home-based medical care program and to identify factors associated with emergency department visits.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study conducted and analyzed?",{"text":117,"@type":113},"A retrospective observational design included program users from 2020 to 2023, analyzed by disease category, with multivariable logistic regression to assess factors for ED visits within 30 days.",{"name":119,"@type":110,"acceptedAnswer":120},"What key results were reported about patient characteristics and services?",{"text":121,"@type":113},"Among 600 patients receiving home visits, 58.5% had cancer and 29.7% had advanced neurologic diseases; physicians provided physical examinations, symptom assessment, home environment evaluation, device management, and advanced care planning, among other services.",{"name":123,"@type":110,"acceptedAnswer":124},"Which factors were associated with increased emergency department visits?",{"text":125,"@type":113},"Excessive polypharmacy and cancer diagnosis were associated with increased emergency department visits within 30 days of a physician’s home visit.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},405731,1790896367,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":148,"preview_page_count":4},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Original Article  \nYonsei Med J 2026 Jan;67(1):62-70 [https://doi.org/10.3349/ymj.2025.0087](https://doi.org/10.3349/ymj.2025.0087)  \npISSN: 0513-5796 · eISSN: 1976-2437  \n\n| Home Healthcare Needs and Characteristics of Patients with Serious Illnesses Who Use\u003Cbr>Hospital-Affiliated Home-Based Medical Care in Korea\u003Cbr>Woohyeon Cho1, Sun Young Lee1,2, Shin Hye Yoo2,3, Belong Cho1,2,4, Kyae Hyung Kim1,4, and In Young Hwang1,4\u003Cbr>1Public Healthcare Center, Seoul National University Hospital, Seoul;\u003Cbr>2Department of Human Systems Medicine, Seoul National University College of Medicine, Seoul;\u003Cbr>3Center for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul;\u003Cbr>4Department of Family Medicine, Seoul National University Hospital, Seoul, Korea. |\n| --- |\n| Purpose: The number of homebound adults with serious illnesses is increasing. This study aimed to examine the healthcare needs and characteristics of patients who use a hospital-affiliated physician-led home-based medical care (HBMC) program and identify factors associated with emergency department (ED) visits in Korea.\u003Cbr>Materials and Methods: This retrospective observational study included patients who used a HBMC program at a tertiary hospital between 2020 and 2023. Patient characteristics and home healthcare needs were analyzed by disease category: cancer, advanced neurologic disease, and others. Multivariable logistic regression analysis was used to identify factors associated with ED visits within 30 days ofa physician’s home visit.\u003Cbr>Results: A total of 600 patients were registered and received home visits; 58.5% had cancer and 29.7% had advanced neurologic diseases, e.g., amyotrophic lateral sclerosis. The median age was 72 years [interquartile range (IQR), 62.8–81.0], and 87.0% were dependentin daily activities. The median number of medications per patient was 6 (IQR, 3–10); 66.3% took ≥5 medications and 25.7% took ≥10 (excessive polypharmacy). Physicians provided not only physical examinations (100%) and symptom assessment (90.8%), but also home environment evaluation (86.7%), medical device management (62.0%), advanced care planning (40.7%), and acute health issue management (32.5%). Within 30 days, 19.2% of patients visited the ED. Excessive polypharmacy and cancer diagnosis were associated with increased ED visits.\u003Cbr>Conclusion: Most patients who used the hospital-affiliated HBMC program had cancer, advanced neurologic disease, and polypharmacy. Targeted HBMC programs are needed for patients with serious illnesses living at home.\u003Cbr>KeyWords: Home-care services, home visit, homebound persons, cancer, neurodegenerative diseases, polypharmacy |\n\nINTRODUCTION  \nAdvances in medical technology and increased life expectan-  \nReceived: April 23, 2025 Revised: June 17, 2025  \nAccepted: July 2, 2025 Published online: November 12, 2025  \nCorresponding author: Sun Young Lee, MD, PhD, Public Healthcare Center, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea. E-mail: [sy2376@snu.ac.kr](sy2376@snu.ac.kr)  \n•The authors have no potential conflicts of interest to disclose.© Copyright: Yonsei University College of Medicine 2026  \nThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ([https://creativecommons.org/licenses/](https://creativecommons.org/licenses/)[ ](https://creativecommons.org/licenses/)[by-nc/4.0](by-nc/4.0)) [which](which) permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.  \ncy have led to an aging society and a growing number of homebound patients with mobility limitations and complex medical needs.1-3 These individuals often face substantial challenges in accessing healthcare services.4-6 In the United States, the proportion of individuals aged 65 years and older is expected to reach 20% by 2030, with approximately 2 million Medicare beneficiaries being complet","cbCaidpWP5pZglvr","https://ap.wps.com/l/cbCaidpWP5pZglvr","pdf",208293,"English","# Purpose\n# Materials and Methods\n# Results\n# Conclusion\n# Introduction","[{\"question\":\"What was the purpose of the study?\",\"answer\":\"To examine healthcare needs and patient characteristics among users of a hospital-affiliated physician-led home-based medical care program and to identify factors associated with emergency department visits.\"},{\"question\":\"How was the study conducted and analyzed?\",\"answer\":\"A retrospective observational design included program users from 2020 to 2023, analyzed by disease category, with multivariable logistic regression to assess factors for ED visits within 30 days.\"},{\"question\":\"What key results were reported about patient characteristics and services?\",\"answer\":\"Among 600 patients receiving home visits, 58.5% had cancer and 29.7% had advanced neurologic diseases; physicians provided physical examinations, symptom assessment, home environment evaluation, device management, and advanced care planning, among other services.\"},{\"question\":\"Which factors were associated with increased emergency department visits?\",\"answer\":\"Excessive polypharmacy and cancer diagnosis were associated with increased emergency department visits within 30 days of a physician’s home visit.\"}]","Home Healthcare Needs and Characteristics of Patients with Serious Illnesses Who Use Hospital-Affiliated Home-Based Medical Care in Korea | PDF",1790561628,23]