We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Impact of a Six-Year Project to Enhance the Awareness of Community-Based Palliative Care on the Place of Death.
- Authors
Murakami, Nozomu; Nakajima, Kazunori; Tanabe, Kouichi; Morita, Tatsuya; Fujikawa, Yasunaga; Koseki, Shiro; Kajiura, Shinya; Hayashi, Ryuji
- Abstract
Object: To examine the clinical outcomes of a project to enhance the awareness of community-based palliative care (awareness-enhancing project), focusing on home death and care rates in communities. Methods: A single-center study on community-based intervention was conducted. The awareness-enhancing project, consisting of three intervention approaches (outreach, palliative care education for community-based medical professionals, and information-sharing tool use), was executed, and changes in the home death rate in the community were examined. Results: The home death rate markedly exceeded the national mean from 2010. In 2012–2013, it was as high as 19.9%, greater than the previous 5.9% (p = 0.001). Through multivariate analysis, the participation of home care physicians and visiting nurses in a palliative care education program, and patients' Palliative Prognostic Index values were identified as factors significantly influencing the home death rate. Conclusion: The three intervention approaches time dependently increased the home death rate as a clinical outcome in the community, although they targeted limited areas. These approaches may aid in increasing the number of individuals who die in their homes.
- Subjects
EDUCATION of physicians; COMMUNITY health services; CAUSES of death; HOME care services; MULTIVARIATE analysis; PALLIATIVE treatment; HEALTH literacy; EVALUATION of human services programs
- Publication
Journal of Palliative Medicine, 2018, Vol 21, Issue 10, p1494
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2017.0696