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Current status of integrating oncology and palliative care in Japan: a nationwide survey.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088685 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-684X (Electronic) Linking ISSN: 1472684X NLM ISO Abbreviation: BMC Palliat Care Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2002-
    • الموضوع:
      Delivery of Health Care, Integrated/*trends ; Oncology Service, Hospital/*trends ; Palliative Care/*methods; Cross-Sectional Studies ; Delivery of Health Care, Integrated/methods ; Delivery of Health Care, Integrated/standards ; Humans ; Japan ; Oncology Service, Hospital/standards ; Palliative Care/standards ; Palliative Care/trends ; Surveys and Questionnaires
    • نبذة مختصرة :
      Background: Palliative care (PC) is increasingly recognized as essential for oncology care, and several academic societies strongly recommend integrating oncology and palliative care (IOP) in daily practice. Similarly, the Japanese government encouraged the implementation of IOP through the Cancer Control Act of 2007; however, its detailed progress remains unclear. Therefore, this cross-sectional nationwide survey was conducted to investigate the current status and hospital executive physicians' perception of IOP.
      Methods: The questionnaire was developed based on IOP indicators with international consensus. It was distributed to executive physicians at all government-designated cancer hospitals (DCHs, n = 399) and matched non-DCHs (n = 478) in November 2017 and the results were compared.
      Results: In total, 269 (67.4%) DCHs and 259 (54.2%) non-DCHs responded. The number of PC resources in DCHs was significantly higher than those in non-DCHs (e.g., full-time PC physicians and nurses, 52.8% vs. 14.0%, p < 0.001; availability of outpatient PC service ≥3 days per week, 47.6% vs. 20.7%, p < 0.001). Routine symptom screening was more frequently performed in DCHs than in non-DCHs (65.1% vs. 34.7%, p < 0.001). Automatic trigger for PC referral availability was limited (e.g., referral using time trigger, 14.9% vs. 15.3%, p = 0.700). Education and research opportunities were seriously limited in both types of hospitals. Most executive physicians regarded IOP as beneficial for their patients (95.9% vs. 94.7%, p = 0.163) and were willing to facilitate an early referral to PC services (54.7% vs. 60.0%, p < 0.569); however, the majority faced challenges to increase the number of full-time PC staff, and < 30% were planning to increase the staff members.
      Conclusions: This survey highlighted a considerable number of IOP indicators met, particularly in DCHs probably due to the government policy. Further efforts are needed to address the serious research/educational gaps.
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    • Grant Information:
      Health Labor Science Research Grant Ministry of Health, Labour and Welfare
    • Contributed Indexing:
      Keywords: Care delivery; Oncology; Organizational innovation; Palliative care; Quality improvement
    • الموضوع:
      Date Created: 20200126 Date Completed: 20200930 Latest Revision: 20200930
    • الموضوع:
      20231215
    • الرقم المعرف:
      PMC6982384
    • الرقم المعرف:
      10.1186/s12904-020-0515-5
    • الرقم المعرف:
      31980015