論文

2022年6月17日

Development of a national health policy logic model to accelerate the integration of oncology and palliative care: a nationwide Delphi survey in Japan.

International journal of clinical oncology
  • Yu Uneno
  • Maki Iwai
  • Naoto Morikawa
  • Keita Tagami
  • Yoko Matsumoto
  • Junko Nozato
  • Takaomi Kessoku
  • Tatsunori Shimoi
  • Miyuki Yoshida
  • Aya Miyoshi
  • Ikuko Sugiyama
  • Kazuhiro Mantani
  • Mai Itagaki
  • Akemi Yamagishi
  • Tatsuya Morita
  • Akira Inoue
  • Manabu Muto
  • 全て表示

27
9
開始ページ
1529
終了ページ
1542
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10147-022-02201-0

BACKGROUND: Despite recommendations to deliver palliative care to cancer patients and their caregivers, their distress has not been alleviated satisfactorily. National health policies play a pivotal role in achieving a comprehensive range of quality palliative care delivery for the public. However, there is no standardised logic model to appraise the efficacy of these policies. This study aimed to develop a logic model of a national health policy to deliver cancer palliative care and to reach consensus towards specific policy proposals. METHODS: A draft version of the logic model and specific policy proposals were formulated by the research team and the internal expert panel, and the independent external expert panel evaluated the policy proposals based on the Delphi survey to reach consensus. RESULTS: The logic model was divided into three major conceptual categories: 'care-delivery at cancer hospitals', 'community care coordination', and 'social awareness of palliative care'. There were 18 and 45 major and minor policy proposals, which were categorised into four groups: requirement of government-designated cancer hospitals; financial support; Basic Plan to Promote Cancer Control Programs; and others. These policy proposals were independently evaluated by 64 external experts and the first to third Delphi round response rates were 96.9-98.4%. Finally, 47 policy proposals reached consensus. The priority of each proposal was evaluated within the four policy groups. CONCLUSIONS: A national health policy logic model was developed to accelerate the provision of cancer palliative care. Further research is warranted to verify the study design to investigate the efficacy of the logic model.

リンク情報
DOI
https://doi.org/10.1007/s10147-022-02201-0
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35713754
ID情報
  • DOI : 10.1007/s10147-022-02201-0
  • PubMed ID : 35713754

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