Identification of quality indicators of end-of-life cancer care from medical chart review using a modified Delphi method in Japan

Mitsunori Miyashita, Asumi Nakamura, Tatsuya Morita, Seiji Bito

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

End-of life care is one of the principle components of cancer care. Measurement of the quality of care provided for end-of-life cancer patients is an important issue. The aim of this study was to identify the quality indicators (QIs) for end-of-life cancer care for Japanese patients using a medical chart review. A modified Delphi method for the development of QIs was adopted. Seventeen multi-professional specialists participated by rating the appropriateness and feasibility of potential QIs. Thirty QIs for end-of-life cancer care were ultimately identified within 4 domains: (1) symptom control, (2) decision-making and preference of care, (3) family care, and (4) psychosocial and spiritual concerns. These QIs will be useful for monitoring and evaluating end-of-life care for Japanese cancer patients. The QIs are feasible for use in any clinical setting and cover a comprehensive area in accordance with the World Health Organization's (WHO) definition of palliative care including physical, psychosocial, and spiritual concerns.

Original languageEnglish
Pages (from-to)33-38
Number of pages6
JournalAmerican Journal of Hospice and Palliative Medicine
Volume25
Issue number1
DOIs
Publication statusPublished - 2008 Feb
Externally publishedYes

Keywords

  • Delphi technique
  • Neoplasms
  • Palliative care
  • Quality indicators
  • Quality of life
  • Terminal care

ASJC Scopus subject areas

  • Medicine(all)

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