The effect of an intervention of a regional palliative care intervention program on home hospice utilization and hospital staff’s perceptions about home care: an observation from the OPTIM-study

• Shirahige Yutaka

  Shirahige Clinic

• Noda Takatoshi

  Nagasaki City Medical Association

• Hojo Minoru

  Department of Anesthesia, Palliative Care Team, Nagasaki University Hospital

• Goto Shinichi

  Department of Anesthesia, The Japanese Red Cross Nagasaki Genbaku Hospital

• Tomiyasu Shiro

  Department of Anesthesia, Palliative Care Team, Nagasaki Municipal Hospital

• Deguchi Masahiro

  Healthcare Corporation Deguchi Surgery Clinic

• Okudaira Sadayuki

  Okudaira Surgery Clinic

• Yasunaka Masakazu

  Yasunaka Surgery/ Neurosurgery Clinic

• Hirayama Mika

  [Outreach Palliative care Trial of Integrated regional Model], Nagasaki City Medical Association, Nagasaki Cancer Support Center

• Yoshihara Ritsuko

  [Outreach Palliative care Trial of Integrated regional Model], Nagasaki City Medical Association, Nagasaki Cancer Support Center

• Funamoto Taeko

  Visiting Nursing Team, Nagasaki City Medical Association

• Igarashi Ayumi

  Graduate School of Health Care Sciences, Tokyo Medical and Dental University

• Miyashita Mitsunori

  Division of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine

• Morita Tatsuya

  Department of Palliative and Supportive Care, Seirei Mikatahara General Hospital

Bibliographic Information

Other Title

• OPTIMプロジェクト前後での病院から在宅診療への移行率と病院医師・看護師の在宅の視点の変化

Abstract

This study aimed to clarify whether a regional palliative care intervention program, the OPTIM project, increased home hospice utilization, and explore the potential association between the home hospice utilization and the hospital staff's perceptions on home care. A questionnaire survey was conducted involving 154 physicians and 469 nurses. The rate of patients who made the transition to home-based care increased 967% in A Hospital, 295% in B Hospital, and 221% in C Hospital in 2010 compared to 2007, which was assumed to be 100. Staff of a hospital where many patients made the transition to home-based care were more likely to agree with the following statements concerning home care perspectives: “I started to consider that even cancer patients can be treated at home until the last moment of their life”, “I usually ask patients whether they wish to receive home-based care”, “We decided on coping strategies for sudden changes in the course of disease and a place to contact in advance”, and “I started to simplify treatment procedures, such as prescriptions during hospitalization for patients and their families to prepare for home-based care“.

Journal

• Palliative Care Research

  Palliative Care Research 7 (2), 389-394, 2012

  Japanese Society for Palliative Medicine

Keywords

• community palliative care
• discharge planning
• home care

Details

• CRID: 1390001205257631616
• NII Article ID: 130002084779
• DOI: 10.2512/jspm.7.389
• ISSN: 18805302
• Web Site: https://www.jstage.jst.go.jp/article/jspm/7/2/7_389/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2013205700
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed