Purpose: Hospice care is the best attendance way for cancer patients. In order to promote and increase the hospice care covering rate, the Department of Bureau of Health Promotion has launched a hospice combined care project since 2005. We have joined this project in our hospital locating at the islands since that time. The purpose of this study is to explore the impact of this project on the utilization of hospital-based hospice care and home hospice care at the local conditions. Material and Methods: The study subjects were terminal cancer patients who had underwent hospice combined cares in our hospital in 2011. Data collected included: basic information into the date of diagnosis, whether the transfer of the symptoms, signed the DNR, psychological, spiritual and social problems, discharge status. The statistical method of the study is performed by SPSS and Windows 12.0. Results: A retrospective analysis showed 48 cancer patients of terminal stage under the mode of hospice combined care during this period. The diagnostic ranking order is of liver cancer, lung cancer, and colorectal cancer. The top three sites of metastasis are liver, lung and bone. Psychosocial emotional distress, loneliness and sense of isolation, the meaning of life and the value of spiritual religion needs to exist doubts position life after the death of the uncertainty highest. Discharged reasons; especially deteriorated emergency discharged home most reflects islands locals Culture, tends to traditional practices, and the lack of truth telling. Conclusions: Our study suggested that Truth telling skills are important issues as Executive hospice.