How and why did a regional palliative care program lead to changes in a region? A qualitative analysis of the Japan OPTIM study

Chizuru Imura, Tatsuya Morita, Masashi Kato, Nobuya Akizuki, Hiroya Kinoshita, Yutaka Shirahige, Satoshi Suzuki, Toru Takebayashi, Ritsuko Yoshihara, Kenji Eguchi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Context Improving palliative care is one of the major issues throughout the world. Objectives The primary aim of this study was to explore how and why a regional palliative care program led to changes in a region. Methods As part of a nationwide mixed-methods study of a regional palliative care program, a qualitative study was performed with 101 health care professionals involved in the implementation of the program. In-depth interviews were done, focusing on perceived changes and the perceived reasons for the changes. We used thematic analyses. Results Seven themes were identified as follows: 1) improved communication and cooperation among regional health care professionals; 2) increased confidence in the system to care for cancer patients at home; 3) improved knowledge/skills, practice, and perception of palliative care; 4) contribution to self-growth; 5) wide variability in perceived changes in the knowledge and perception of patients, family members, and the general public; 6) wide variability in the perceived regionwide effects of the project; and 7) unresolved issues. Participants emphasized improved communication and cooperation among regional health care professionals and stated a variety of ways of how communication and cooperation influenced daily practice. The main reasons for changes included regionwide interdisciplinary conferences and informal interactions at a variety of meetings. Conclusion This study advances understanding of how the regional palliative care program created a change in the region. The findings are useful for developing a conceptual framework and identifying key interventions to improve regional palliative care for clinicians, researchers, and policy makers.

Original languageEnglish
Pages (from-to)849-859
Number of pages11
JournalJournal of Pain and Symptom Management
Volume47
Issue number5
DOIs
Publication statusPublished - 2014

Fingerprint

Palliative Care
Japan
Communication
Delivery of Health Care
Administrative Personnel
Patient Care
Research Personnel
Interviews
Growth
Neoplasms

Keywords

  • community
  • home
  • palliative care
  • Region
  • social capital

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Nursing(all)
  • Medicine(all)

Cite this

How and why did a regional palliative care program lead to changes in a region? A qualitative analysis of the Japan OPTIM study. / Imura, Chizuru; Morita, Tatsuya; Kato, Masashi; Akizuki, Nobuya; Kinoshita, Hiroya; Shirahige, Yutaka; Suzuki, Satoshi; Takebayashi, Toru; Yoshihara, Ritsuko; Eguchi, Kenji.

In: Journal of Pain and Symptom Management, Vol. 47, No. 5, 2014, p. 849-859.

Research output: Contribution to journalArticle

Imura, Chizuru ; Morita, Tatsuya ; Kato, Masashi ; Akizuki, Nobuya ; Kinoshita, Hiroya ; Shirahige, Yutaka ; Suzuki, Satoshi ; Takebayashi, Toru ; Yoshihara, Ritsuko ; Eguchi, Kenji. / How and why did a regional palliative care program lead to changes in a region? A qualitative analysis of the Japan OPTIM study. In: Journal of Pain and Symptom Management. 2014 ; Vol. 47, No. 5. pp. 849-859.
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