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- Title
Identified Palliative Care Approach Needs with SPICT in Family Practice: A Preliminary Observational Study.
- Authors
Hamano, Jun; Oishi, Ai; Kizawa, Yoshiyuki
- Abstract
Background: Identifying patients who require palliative care approach is challenging for family physicians, even though several identification tools have been developed for this purpose. Objective: To explore the prevalence and characteristics of family practice patients who need palliative care approach as determined using Supportive and Palliative Care Indicators Tool (SPICT™, April 2015) in Japan. Design: Single-center cross-sectional study. Setting/Subjects: We enrolled all patients ≥65 years of age who visited the chief researcher's outpatient clinic in October 2016. Measurements: We used Japanese version of SPICT (SPICT-J) to identify patients who need palliative care approach. We assessed patients' backgrounds and whether they had undergone advance care planning with their family physicians. Results: This study included 87 patients (61 females) with a mean age of 79.0 ± 7.4 years. Eight patients (9.2%) were identified as needing palliative care approach. The mean age of patients who needed this approach was 82.3 ± 8.3 years and main underlying conditions were heart/vascular disease (37.5%), dementia/frailty (25.0%), and respiratory disease (12.5%). Only two of eight patients identified as needing palliative care approach had discussed advance care planning with their family physicians. Conclusions: In family practice, 9.2% of outpatients ≥65 years of age were identified as needing palliative care approach. Family physicians should carefully evaluate whether outpatients need palliative care approach.
- Subjects
JAPAN; TREATMENT of vascular diseases; TREATMENT of dementia; HEART diseases; THERAPEUTICS; TREATMENT of respiratory diseases; FAMILY medicine; FRAIL elderly; MEDICAL appointments; MEDICAL needs assessment; SCIENTIFIC observation; PALLIATIVE treatment; GENERAL practitioners; ADVANCE directives (Medical care); DISEASE prevalence; CROSS-sectional method; RESEARCH methodology evaluation
- Publication
Journal of Palliative Medicine, 2018, Vol 21, Issue 7, p992
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2017.0491