Objective: The study provided an analysis of an experimental multi-disciplinary service model of hospice-palliative care in a public community hospital. Methods: We reviewed the records of patients who were referred from acute ward teams for hospice-palliative care consultations in a public community hospital. Body, mind and spiritual conditions were assessed to determine the bio-psycho-social and spiritual needs of terminal patients. A total of 42 terminal inpatients from 2010 January to 2011 December were reviewed. Results: The average age of these patients was 79.2±10.6 years; 76.2% identified a religious preference, and 42.8% had cognitive impairment due to a cerebral vascular accident or dementia. Only 47.6% knew their diagnosis and prognosis. The average number of physical symptoms was 11.5, and these included weakness, fatigue, loss of appetite, abdominal distension, infection, and incontinence. The major psychological problems of patients and families included emotional distress, adaptation difficulties, and lack of economic resources; the main spiritual issues included anxiety and fear of death and a sense of loneliness and isolation. Of these patients, 35.7% had previously lived in a public nursing home and this was associed with a lack of economic resources (45%), the inability to seek consultation with family members (40.5%), and signed a DNR request by themselves precedently (33.3%). They raised the lack of economic resources and the feelings of anxiety and fear of death as concerns; however, a religious belief lowered their sense of loneliness and isolation. Conclusions: A professional multi-disciplinary hospice team is essential if a public community hospital is to build a hospital-palliative care system. The integration of geriatric care and palliative care is also important.