Palliative Care in Japan: Current Status and a Nationwide Challenge to Improve Palliative Care by the Cancer Control Act and the Outreach Palliative Care Trial of Integrated Regional Model (OPTIM) Study

被引：43
|
作者：
Yamagishi, Akemi [2 ,3 ]
Morita, Tatsuya [1 ,4 ]
Miyashita, Mitsunori [3 ]
Akizuki, Nobuya [5 ]
Kizawa, Yoshiyuki [6 ]
Shirahige, Yutaka [7 ]
Akiyama, Miki [8 ]
Hirai, Kei [9 ,10 ]
Kudo, Tadashi [10 ]
Yamaguchi, Takuhiro [11 ]
Fukushima, Asuka [2 ,12 ]
Eguchi, Kenji [12 ]
机构：
[1] Seirei Mikatahara Gen Hosp, Dept Palliat & Support Care, Palliat Care Team, Shizuoka 4338558, Japan
[2] Univ Tokyo, Grad Sch Med, Japan Canc Soc, Tokyo, Japan
[3] Univ Tokyo, Grad Sch Med, Japan Dept Adult Nursing Palliat Care Nursing, Tokyo, Japan
[4] Seirei Mikatahara Gen Hosp, Seirei Hosp, Shizuoka 4338558, Japan
[5] Natl Canc Ctr Hosp E, Psychooncol Div, Res Ctr Innovat Oncol, Chiba, Japan
[6] Univ Tsukuba, Grad Sch Comprehens Human Sci, Ibaraki, Japan
[7] Shirahige Clin, Nagasaki, Japan
[8] Keio Univ, Fac Policy Management, Kanagawa, Japan
[9] Osaka Univ, Grad Sch Med, Dept Complementary & Alternat Med, Ctr Study Commun Design, Osaka, Japan
[10] Osaka Univ, Grad Sch Human Sci, Osaka, Japan
[11] Tokyo Univ Hosp, Grad Sch Med, Dept Clin Trial Data Management, Tokyo 113, Japan
[12] Teikyo Univ, Sch Med, Div Med Oncol, Tokyo 173, Japan
来源：
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2008年 / 25卷 / 05期
关键词：
palliative care; regional trial; neoplasms;
D O I：
10.1177/1049909108318568
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Palliative care is an essential part of integrated cancer treatment. To improve palliative care throughout Japan, a nationwide demonstration project, the Outreach Palliative Care Trial of Integrated Regional Model (OPTIM) study, is ongoing. This article reviews the current status and the problems of palliative care in Japan and introduces the OPTIM study. Although the number of palliative care services is increasing, empirical evidence shows the quality of life of cancer patients is still inadequate. The OPTIM study is an intervention trial targeting 4 areas across Japan. Primary end points are quality of care reported by patients as well as the bereaved family, number of patients who received specialized palliative care services, and place of death. The interventions are comprehensively designed to cover all areas identified by the national task force. The OPTIM study will contribute to improve patients' quality of life by proposing a regional palliative care model suitable for Japan.
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页码：412 / 418
页数：7
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