Evidence map›Paper›PMID 34872375›Full record

ArticleThe American journal of hospice & palliative care2022

Process Evaluation of the Regional Referral Clinical Pathway for Home-Based Palliative Care and Outreach Program: A Questionnaire Survey of the Medical Staff and Bereaved Families.

Nozomu Murakami, Kouichi Tanabe, Tatsuya Morita, Yasunaga Fujikawa, Shiro Koseki, Shinya Kajiura, Kazunori Nakajima, Ryuji Hayashi

Open access · hybridAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Nozomu MurakamiDepartment of Palliative Care Surgery, 13869Kouseiren Takaoka Hospital, Toyama, Japan.ORCID https://orcid.org/0000-0003-0591-6547
Kouichi TanabeDrug Informatics, Faculty of Pharmacy, 12942Meijo University, Aichi, Japan.ORCID https://orcid.org/0000-0003-3875-5380
Tatsuya MoritaDepartment of Palliative and Supportive Care, Seirei Mikatahara Hospital, Shizuoka, Japan.
Yasunaga FujikawaA Board of Palliative Care, Saiseikai Takaoka Hospital, Toyama, Japan.
Shiro KosekiHome Palliative Care Committee, Takaoka Medical Service Region, Toyama, Japan.
Shinya KajiuraDepartment of Clinical Oncology, 476163Toyama University Hospital, Toyama, Japan.
Kazunori NakajimaDepartment of Palliative Care Surgery, 13869Kouseiren Takaoka Hospital, Toyama, Japan.
Ryuji HayashiDepartment of Clinical Oncology, 476163Toyama University Hospital, Toyama, Japan.
Kouseiren Takaoka Hospital · JPToyama University Hospital · JPMeijo University · JPSaiseikai Takaoka Hospital · JPSeirei Social Welfare Community · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to clarify how the Regional Referral Clinical Pathway for Home-based Palliative Care (RRCP-HPC) and an outreach program by a palliative care team (PCT) lead to an improvement in the outcome. DESIGN AND

methodsWe conducted questionnaire surveys using the mailing method involving the regional medical staff involved in cancer patients introduced to the PCT of a single hospital, as well as bereaved families. The questionnaire was prepared through interviews with the medical staff and bereaved families. Subsequently, factor analysis was performed to identify factor structures and calculate the correlation coefficient with each outcome.

resultsFor the questionnaire survey involving the medical staff, responses were collected from 119 regional medical institutions and 84 regional medical staff. The response rate per institution was 51.3%. Similarly, for the questionnaire survey involving bereaved families, the response rate was 42.4%. For the survey involving the medical staff, 6 factors, such as "improved awareness of an interdisciplinary team," were extracted. For the survey involving the bereaved families, 4 factors, such as "improvement of communications between patients and healthcare professionals," were extracted. There were significant (≥moderate) correlations between these factors and all outcomes.

conclusionIn this study, we clarified the process of achieving palliative care until death at home without difficulties using the outreach program and RRCP-HPC. The results suggest the importance of improving communications. The outreach program and RRCP-HPC may have contributed to palliative care at home without difficulties through an improvement in communications.

Indexed as

NeoplasmsPalliative CareCritical PathwaysHumansMedical StaffReferral and ConsultationSurveys and Questionnairesclinical pathwaydeclarationhome-based palliative caremultidisciplinary team careoutreachquestionnaire surveyregional palliative care

Identifiers

PMID34872375
PMCPMC9386762
OpenAlexW4200147005

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.