Regional medical professionals' confidence in providing palliative care, associated difficulties and availability of specialized palliative care services in Japan.

Kayo Hirooka, Mitsunori Miyashita, Tatsuya Morita, Takeyuki Ichikawa, Saran Yoshida, Nobuya Akizuki, Miki Akiyama, Yutaka Shirahige, Kenji Eguchi

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Although confidence in providing palliative care services is an essential component of providing such care, factors relating to this have not been investigated in Japan. This study aimed to explore confidence in the ability to provide palliative care and associated difficulties and to explore correlations between these variables. Design A cross-sectional mail survey of medical doctors and registered nurses in Japan was performed as part of a regional intervention trial: the Outreach Palliative Care Trial of Integrated Regional Model study. Subjects Questionnaires were sent to 7905 medical professionals, and 409 hospital doctors, 235 general practitioners, 2160 hospital nurses and 115 home visiting nurses completed them. Confidence in providing palliative care was low and difficulties frequent for all types of medical professionals assessed. In particular, only 8-24% of them, depending on category, agreed to 'having adequate knowledge and skills regarding cancer pain management'. In particular, 55-80% of medical professionals acknowledged difficulty with 'alleviation of cancer pain'. Multiple regression analysis revealed that confidence was positively correlated with the amount of relevant experience and, for medical doctors, with 'prescriptions of opioids (per year)'. Moreover, difficulties were negatively correlated with the amount of relevant clinical experience. Effective strategies for developing regional palliative care programs include basic education of medical professionals on management of cancer-related pain (especially regarding opioids) and other symptoms.

Original languageEnglish
Pages (from-to)249-256
Number of pages8
JournalJapanese Journal of Clinical Oncology
Volume44
Issue number3
DOIs
Publication statusPublished - 2014

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Palliative Care
Japan
Community Health Nurses
Opioid Analgesics
Nurses
Professional Education
Postal Service
Pain Management
Medical Education
General Practitioners
Prescriptions
Cross-Sectional Studies
Regression Analysis
Cancer Pain

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Radiology Nuclear Medicine and imaging

Cite this

Regional medical professionals' confidence in providing palliative care, associated difficulties and availability of specialized palliative care services in Japan. / Hirooka, Kayo; Miyashita, Mitsunori; Morita, Tatsuya; Ichikawa, Takeyuki; Yoshida, Saran; Akizuki, Nobuya; Akiyama, Miki; Shirahige, Yutaka; Eguchi, Kenji.

In: Japanese Journal of Clinical Oncology, Vol. 44, No. 3, 2014, p. 249-256.

Research output: Contribution to journalArticle

Hirooka, Kayo ; Miyashita, Mitsunori ; Morita, Tatsuya ; Ichikawa, Takeyuki ; Yoshida, Saran ; Akizuki, Nobuya ; Akiyama, Miki ; Shirahige, Yutaka ; Eguchi, Kenji. / Regional medical professionals' confidence in providing palliative care, associated difficulties and availability of specialized palliative care services in Japan. In: Japanese Journal of Clinical Oncology. 2014 ; Vol. 44, No. 3. pp. 249-256.
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