An Empirical Study of Needs for Health, Medical Care and Welfare Services in The Terminal Care

临终关怀健康医疗福利服务需求实证研究

• 批准号: 19530547
• 负责人: KATAOKA Yasuko
• 金额: $ 1.91万
• 依托单位: Kurume University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2007
• 资助国家: 日本
• 起止时间: 2007 至 2010
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-19530547/
• 关键词: ターミナルケア; 医療福祉ニーズ; 地域医療福祉連携; 医療ソーシャルワーク実践過程; がんターミナル期; 医療供給体制; がん対策基本法; 二次保健医療圏; 福岡県; 医療供給体制の偏在; 医療ソーシャルワーク; 緩和ケア病棟; 地域福祉医療連携; 社会福祉関係; 医療・福祉; 医療ソーシャルワーク実践; 緩和ケアチーム; 在宅ターミナルケア; チーム医療; 緩和ケア; デス・エデュケーション

This study on needs for health, medical care and welfare services in terminal care, tried to clarify, in the method, related interviews of medical social workers, research on medical institutions and case studies. It became clear from these studies were underdeveloped and ubiquity of medical provide system, that is important to discover the needs of nurses, medical social workers have not been stationed at palliative care team.While, medical social workers, medical expenses related the problems became clear that adjustments to solve the problem by moving to another hospital and discharged.In these conditions, the needs of patients with terminal cancer, was presented to be the highest priority of pain control. And it s important suggested that technology diffusion urgent palliative care, too.The medical staff responded, in the report, hospice care-giving is the best, and then home medical care. Suggested to be an issue of lack of hospital services and underdeveloped healthcare system try for at home care-giving, however.

本研究以临终关怀的健康、医疗及福利服务需求为研究对象，通过对医务社工的相关访谈、对医疗机构的研究及个案研究，试图厘清相关的研究方法。从这些研究中可以看出，医疗提供体系的不发达和无处不在，即发现护士的需求很重要，医务社会工作者并没有驻扎在姑息关怀团队中。同时，医务社会工作者、医疗费用相关的问题变得清晰起来，通过转移到另一家医院并出院来解决问题。在这种情况下，晚期癌症患者的需求被提出为疼痛控制的重中之重。S还建议技术推广紧急姑息治疗。医务人员回应说，在报告中，临终关怀是最好的，其次是家庭医疗。然而，建议是缺乏医院服务和不发达的医疗体系试图在家中提供护理的问题。

项目成果

片岡靖子「がん患者のターミナルケアに関する調査報告書」2010年3月。

Yasuko Kataoka，“癌症患者临终护理调查报告”，2010 年 3 月。