TY - JOUR
T1 - Trust in Physicians, Continuity and Coordination of Care, and Quality of Death in Patients with Advanced Cancer
AU - Hamano, Jun
AU - Morita, Tatsuya
AU - Fukui, Sakiko
AU - Kizawa, Yoshiyuki
AU - Tunetou, Satoru
AU - Shima, Yasuo
AU - Kobayakawa, Makoto
AU - Aoyama, Maho
AU - Miyashita, Mitsunori
N1 - Funding Information:
This study was part of J-HOPE3. It was performed with the corporation of Hospice Palliative Care Japan, and was funded by the Japan Hospice Palliative Care Foundation and co-supported by Sasakawa Memorial Health Foundation. The authors would like to thank all of the participants and participating institutions for taking part in this study.
Publisher Copyright:
© 2017, Mary Ann Liebert, Inc.
PY - 2017/11
Y1 - 2017/11
N2 - Background: Provider-centered factors contribute to unexplained variation in the quality of death (QOD). The relationship between healthcare providers (HCPs) and patients, bidirectional communication, and consistency of longitudinal care planning are important provider-centered factors. Objective: To explore whether the level of trust in HCPs, the quality of continuity of care, and the level of coordination of care among home HCPs are associated with the QOD for cancer patients dying at home. Design: This study was a part of a nationwide multicenter questionnaire survey of bereaved family members of cancer patients evaluating the quality of end-of-life care in Japan. Setting/Subjects: We investigated 702 family members of cancer patients who died at home. Measurements: The QOD was evaluated from nine core domains of the short version of the Good Death Inventory (GDI). We measured five factors on a Likert scale, including patient and family trust in HCPs, continuity of care by home hospice and hospital physicians, and coordination of care among home hospice staff. Results: A total of 538 responses (77%) were obtained and 486 responses were analyzed. Trust in HCPs was correlated with the GDI score (r = 0.300-0.387, p < 0.001). The quality of care coordination was associated with the GDI score (r = 0.242, p < 0.001). Conclusions: Trust of the patient and family in home hospice staff, as well as coordination of care among hospice staff, are associated with the QOD for cancer patients dying at home.
AB - Background: Provider-centered factors contribute to unexplained variation in the quality of death (QOD). The relationship between healthcare providers (HCPs) and patients, bidirectional communication, and consistency of longitudinal care planning are important provider-centered factors. Objective: To explore whether the level of trust in HCPs, the quality of continuity of care, and the level of coordination of care among home HCPs are associated with the QOD for cancer patients dying at home. Design: This study was a part of a nationwide multicenter questionnaire survey of bereaved family members of cancer patients evaluating the quality of end-of-life care in Japan. Setting/Subjects: We investigated 702 family members of cancer patients who died at home. Measurements: The QOD was evaluated from nine core domains of the short version of the Good Death Inventory (GDI). We measured five factors on a Likert scale, including patient and family trust in HCPs, continuity of care by home hospice and hospital physicians, and coordination of care among home hospice staff. Results: A total of 538 responses (77%) were obtained and 486 responses were analyzed. Trust in HCPs was correlated with the GDI score (r = 0.300-0.387, p < 0.001). The quality of care coordination was associated with the GDI score (r = 0.242, p < 0.001). Conclusions: Trust of the patient and family in home hospice staff, as well as coordination of care among hospice staff, are associated with the QOD for cancer patients dying at home.
KW - continuity of care
KW - coordination of care
KW - home care
KW - patients with advanced cancer
KW - quality of death
KW - trust in healthcare providers
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U2 - 10.1089/jpm.2017.0049
DO - 10.1089/jpm.2017.0049
M3 - Article
C2 - 28731821
AN - SCOPUS:85032978117
SN - 1096-6218
VL - 20
SP - 1252
EP - 1259
JO - Journal of Palliative Medicine
JF - Journal of Palliative Medicine
IS - 11
ER -
