Factors related to satisfaction of cancer patients with transfer arrangements made by university hospitals at the end-of
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ORIGINAL ARTICLE
Factors related to satisfaction of cancer patients with transfer arrangements made by university hospitals at the end-of-life in Japan: a cross-sectional questionnaire survey of bereaved family members Hiroko Ishimoto 1
&
Tokunori Ikeda 2,3 & Yasuhiro Kadooka 4
Received: 28 July 2020 / Accepted: 7 October 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Cancer patients in university hospitals often face a difficult decision regarding transfer to other care settings at the endof-life. Arrangements for a satisfying transfer are important for reducing the psychosocial impact of the transition, but few studies have evaluated this aspect. This study aimed to identify factors related to the satisfying arrangement of transfers to other care settings from university hospitals. Methods A total of 400 bereaved family members of cancer patients in Japan participated in this cross-sectional web-based questionnaire survey. Statistical methods including decision tree analysis were conducted to identify factors significantly associated with satisfying transfer arrangements. Results More than 60% of cancer patients were satisfied with the transfer arrangements made by university hospitals. Decision tree analysis revealed that the factor most significantly associated with satisfaction with transfer arrangements was “satisfaction with contents of the explanation about transfer.” The following significant factors were also extracted: “timing of being informed of transfer,” “presence of primary care physician,” and “presence of trustworthy staff.” “Satisfaction with overall care from university hospital staff” and “involvement of palliative care team” were identified as factors contributing to a high degree of satisfaction with transfer arrangements. Conclusion In order to make satisfying transfer arrangements from university hospitals for cancer patients at the end-of-life, healthcare professionals should provide satisfactory explanations about the transfer process in order to meet the information needs of patients. To be effective, healthcare professionals should initiate transfer arrangements prior to cancer treatment, while simultaneously building trusting relationships with patients. Keywords Transfer arrangement . Cancer patient . University hospital . End-of-life
Introduction * Hiroko Ishimoto [email protected] 1
Department of Bioethics, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjyo, Chuo-ku, Kumamoto 860-8556, Japan
2
Laboratory of Clinical Pharmacology and Therapeutics, Sojo University Faculty of Pharmaceutical Sciences, 4-22-1 Ikeda, Nishi-ku, Kumamoto 860-0082, Japan
3
Department of Medical Information Sciences and Administration Planning, Kumamoto University Hospital, 1-1-1 Honjo, Chuo-ku, Kumamoto 860-8556, Japan
4
Department of Bioethics, Kumamoto University Faculty of Life Sciences, 1-1-1 Honjyo, Chuo-ku, Kumamoto 860-8556, Japan
In current cancer care settings in Japan, the specialization of roles/functions of medical inst
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