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    
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.
S Fukui; J Fujita; M Tsujimura; Y Sumikawa; Yayoi Hayashi; N Fukui
Related Documents :
21401687 - Why are newly qualified doctors unprepared to care for patients at the end of life?
12113967 - Post-partum maternity 'blues' as a reflection of newborn nursing care in japan.
21162357 - Care of patients with parkinson's disease in the operating department.
1852507 - Mothers' comprehension of terminology associated with the care of a newborn baby.
14631997 - Development of a pilot system for converting sweet potato starch into glucose syrup.
21182797 - Improving the uptake of preconception care and periconceptional folate supplementation:...
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:  -    
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

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...