The current status of palliative care teams in Japanese University Hospitals

A nationwide questionnaire survey

Mitsunori Miyashita, Shigehito Nishida, Yurie Koyama, Rieko Kimura, Tomoyo Sasahara, Yuki Shirai, Masako Kawa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Goal: Although the importance of the palliative care team (PCT) to university hospitals is widely accepted, the issues of palliative care at the national level have not been clarified. We conducted a nationwide survey of the current status of PCTs in all (123) Japanese university hospitals. Materials and methods: In 2003, 2004 and 2005, the authors conducted a self-reporting cross-sectional survey. Questionnaires were mailed to nursing directors and selected PCT members of all Japanese university hospitals. Results: Of 123 hospitals in 2005, 99 (80%) returned the questionnaire; 33% used PCTs, and 11% used certified PCTs. Our findings include: annual number of patients treated by PCTs (83/70±64, mean/median ± SD), daily number of patients treated by PCTs (12/11±14), and days of PCT care per patient (30/30±22). Certified PCTs treated more patients per year (p=0.004) and more patients per day (p<0.001) compared to noncertified PCTs. Over the 3-year period, the number of hospitals utilizing PCTs only slightly increased (2003: 27%, 2004: 29%, 2005: 33%), as did those using certified PCTs (2003: 3%, 2004: 9%, 2005:11%). In 2005, the reasons for noncertification of PCTs included "lack of physicians who specialize in palliative care (82%)" and "lack of nurses who specialize in palliative care (56%)." Conclusions: The entire system of palliative care in Japanese university hospitals is currently insufficient. The lack of physicians and nurses who specialize in palliative care is a significant barrier, and therefore, the initiation of a formal training system for these health care professionals is a high priority issue.

Original languageEnglish
Pages (from-to)801-806
Number of pages6
JournalSupportive Care in Cancer
Volume15
Issue number7
DOIs
Publication statusPublished - 2007 Jul
Externally publishedYes

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Palliative Care
Nurses
Physicians
Patient Care Team
Surveys and Questionnaires
Nursing
Cross-Sectional Studies
Delivery of Health Care

Keywords

  • Japan
  • National survey
  • Palliative care
  • Palliative care team
  • Questionnaires
  • University hospital

ASJC Scopus subject areas

  • Oncology
  • Nursing(all)

Cite this

The current status of palliative care teams in Japanese University Hospitals : A nationwide questionnaire survey. / Miyashita, Mitsunori; Nishida, Shigehito; Koyama, Yurie; Kimura, Rieko; Sasahara, Tomoyo; Shirai, Yuki; Kawa, Masako.

In: Supportive Care in Cancer, Vol. 15, No. 7, 07.2007, p. 801-806.

Research output: Contribution to journalArticle

Miyashita, M, Nishida, S, Koyama, Y, Kimura, R, Sasahara, T, Shirai, Y & Kawa, M 2007, 'The current status of palliative care teams in Japanese University Hospitals: A nationwide questionnaire survey', Supportive Care in Cancer, vol. 15, no. 7, pp. 801-806. https://doi.org/10.1007/s00520-006-0189-4
Miyashita, Mitsunori ; Nishida, Shigehito ; Koyama, Yurie ; Kimura, Rieko ; Sasahara, Tomoyo ; Shirai, Yuki ; Kawa, Masako. / The current status of palliative care teams in Japanese University Hospitals : A nationwide questionnaire survey. In: Supportive Care in Cancer. 2007 ; Vol. 15, No. 7. pp. 801-806.
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abstract = "Goal: Although the importance of the palliative care team (PCT) to university hospitals is widely accepted, the issues of palliative care at the national level have not been clarified. We conducted a nationwide survey of the current status of PCTs in all (123) Japanese university hospitals. Materials and methods: In 2003, 2004 and 2005, the authors conducted a self-reporting cross-sectional survey. Questionnaires were mailed to nursing directors and selected PCT members of all Japanese university hospitals. Results: Of 123 hospitals in 2005, 99 (80{\%}) returned the questionnaire; 33{\%} used PCTs, and 11{\%} used certified PCTs. Our findings include: annual number of patients treated by PCTs (83/70±64, mean/median ± SD), daily number of patients treated by PCTs (12/11±14), and days of PCT care per patient (30/30±22). Certified PCTs treated more patients per year (p=0.004) and more patients per day (p<0.001) compared to noncertified PCTs. Over the 3-year period, the number of hospitals utilizing PCTs only slightly increased (2003: 27{\%}, 2004: 29{\%}, 2005: 33{\%}), as did those using certified PCTs (2003: 3{\%}, 2004: 9{\%}, 2005:11{\%}). In 2005, the reasons for noncertification of PCTs included {"}lack of physicians who specialize in palliative care (82{\%}){"} and {"}lack of nurses who specialize in palliative care (56{\%}).{"} Conclusions: The entire system of palliative care in Japanese university hospitals is currently insufficient. The lack of physicians and nurses who specialize in palliative care is a significant barrier, and therefore, the initiation of a formal training system for these health care professionals is a high priority issue.",
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