ID 53023
JaLCDOI
フルテキストURL
著者
Nishie, Hiroyuki Department of Anesthesiology and Resuscitology, Okayama University Hospital
Mizobuchi, Satoshi Department of Anesthesiology and Perioperative Medicine, Kobe University Graduate School of Medicine
Suzuki, Etsuji Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Sato, Kenji Department of Anesthesiology and Resuscitology, Okayama University Hospital
Toda, Yuichiro Department of Anesthesiology and Resuscitology, Okayama University Hospital
Matsuoka, Junji Department of Palliative Care Medicine, Okayama University Hospital
Morimatsu, Hiroshi Department of Anesthesiology and Resuscitology, Okayama University Hospital
抄録
The main purpose of this study was to determine the relationships between Japanese individualsʼ interest in living wills and their preferred end-of-life care and death locations. Questionnaires were mailed to 1,000 individuals aged ァ50 to measure these 2 factors. We examined the associations between the respondentsʼ characteristics and their preferred care and death locations by using multinomial logistic regression models. The response rate was 74%. Home was the most frequently preferred place for end-of-life care (64%), and a palliative care unit (PCU) was the most commonly preferred place to die (51%). Living will interest was associated with a preference for care (odds ratio [OR] 4.74, 95% confidence interval [CI] 1.95-12.1) and death (OR 2.75, 95% CI 1.70-4.47) in a PCU rather than a hospital, but it was not associated with the choice between receiving care or dying at home instead of a hospital. We must consider why Japanese people think home death is impracticable. The Japanese palliative care system should be expanded to meet patientsʼ end-of-life needs, and this includes not only facilitating home care but also increasing access to PCU care.
キーワード
advance healthcare directive
living will
end-of-life care
palliative care unit
place of death
Amo Type
Original Article
発行日
2014-12
出版物タイトル
Acta Medica Okayama
68巻
6号
出版者
Okayama University Medical School
開始ページ
339
終了ページ
348
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT
関連URL
http://ousar.lib.okayama-u.ac.jp/metadata/53134
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