Palliative Care in Japan: Current Status and a Nationwide Challenge to Improve Palliative Care by the Cancer Control Act and the Outreach Palliative Care Trial of Integrated Regional Model (OPTIM) Study
Palliative Care in Japan: Current Status and a Nationwide Challenge to Improve Palliative Care by the Cancer Control Act and the Outreach Palliative Care Trial of Integrated Regional Model (OPTIM) Study
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DOI：
10.1177/1049909108318568
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发表时间：
2008-10-01
影响因子：
1.9
通讯作者：
Eguchi, Kenji
中科院分区：
文献类型：
--
作者：
Yamagishi, Akemi;Morita, Tatsuya;Eguchi, Kenji
姑息治疗是综合癌症治疗的重要组成部分。为了改善日本全国的姑息治疗，正在进行一个全国性的示范项目，即综合区域模式研究的推广姑息治疗试验。本文综述了日本姑息治疗的现状和存在的问题，并介绍了OPTIM研究。虽然姑息治疗服务的数量正在增加，但经验证据显示癌症患者的生活质量仍然不足。OPTIM研究是一项针对日本4个地区的干预试验。主要终点是患者和家属报告的护理质量，接受专门姑息治疗服务的患者人数和死亡地点。干预措施的设计全面，涵盖国家工作队确定的所有领域。OPTIM研究将通过提出适合日本的区域姑息治疗模式，为提高患者的生活质量做出贡献。
Palliative care is an essential part of integrated cancer treatment. To improve palliative care throughout Japan, a nationwide demonstration project, the Outreach Palliative Care Trial of Integrated Regional Model (OPTIM) study, is ongoing. This article reviews the current status and the problems of palliative care in Japan and introduces the OPTIM study. Although the number of palliative care services is increasing, empirical evidence shows the quality of life of cancer patients is still inadequate. The OPTIM study is an intervention trial targeting 4 areas across Japan. Primary end points are quality of care reported by patients as well as the bereaved family, number of patients who received specialized palliative care services, and place of death. The interventions are comprehensively designed to cover all areas identified by the national task force. The OPTIM study will contribute to improve patients' quality of life by proposing a regional palliative care model suitable for Japan.