Document Detail


Late referrals to home palliative care service affecting death at home in advanced cancer patients in Japan: a nationwide survey.
MedLine Citation:
PMID:  21307157     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: To identify factors influencing place of death among home palliative care patients with advanced cancer, focusing on the timing of referrals from hospital to home care settings. METHODS: A cross-sectional nationwide questionnaire survey was conducted on home palliative care patients at 1000 randomly selected home care agencies in Japan. A total of 568 responses were analyzed (effective response rate, 69%). RESULTS: Multivariate logistic regression analysis revealed that (i) predischarge health care supports in hospital (e.g. early referral 8 days or more before discharge; clear explanation by hospital staffs to patients and families regarding discharge to live and die at home) and (ii) postdischarge health care supports after transferring home care (e.g. signing a 24-h support insurance contract of network between primary physician and nurse as a home palliative care team; primary nurse consultation with primary physician >3 times during the first week after discharge) have an effect on place of death among home palliative care patients. CONCLUSION: An early and carefully coordinated referral support system for smooth discharge by hospital staffs as well as intensive and highly qualified support just after discharge by the home care team would help to increase the number of patients who could die at home.
Authors:
S Fukui; J Fujita; M Tsujimura; Y Sumikawa; Yayoi Hayashi; N Fukui
Related Documents :
21348587 - Pediatric acute respiratory failure: areas of debate in the pediatric critical care set...
12695977 - Mother-daughter relationships expressed in the food context of postpartum convalescence...
21509407 - Acute mental health care according to recent mental health legislation part ii. activit...
21516617 - Short of the mark. a modern healthcare analysis of form 990s shows some very profitable...
15118977 - Chronic abdominal wall pain: clinical features, health care costs, and long-term outcome.
18649107 - The relationship between measured performance and satisfaction with care among clinical...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-9
Journal Detail:
Title:  Annals of oncology : official journal of the European Society for Medical Oncology / ESMO     Volume:  -     ISSN:  1569-8041     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007735     Medline TA:  Ann Oncol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Community Health Nursing, Graduate School of Nursing, The Japanese Red Cross University, Tokyo.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Adenomyoepithelioma of the breast: a review stressing its propensity for malignant transformation.
Next Document:  Alcohol drinking and colorectal cancer risk: an overall and dose-response meta-analysis of published...