Predictors of At-Home Death for Cancer Patients in Rural Clinics in Japan

Jun Watanabe, Hiroyuki Teraura, Kenichi Komatsu, Hironori Yamaguchi and Kazuhiko Kotani
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Jun Watanabe: Division of Community and Family Medicine, Jichi Medical University, Shimotsuke 329-0498, Japan
Hiroyuki Teraura: Division of Community and Family Medicine, Jichi Medical University, Shimotsuke 329-0498, Japan
Kenichi Komatsu: Division of Community and Family Medicine, Jichi Medical University, Shimotsuke 329-0498, Japan
Hironori Yamaguchi: Department of Clinical Oncology, Jichi Medical University, Shimotsuke 329-0498, Japan
Kazuhiko Kotani: Division of Community and Family Medicine, Jichi Medical University, Shimotsuke 329-0498, Japan

IJERPH, 2021, vol. 18, issue 23, 1-5

Abstract: Background: The prediction of at-home deaths has become an important topic in rural areas of Japan with an advanced aging society. However, there are no well-established predictors to explain how these factors influence intention. This study aims to investigate the possible predictors of at-home death for cancer patients in rural clinics in Japan. Methods: This is a nationwide cross-sectional survey. A self-administered questionnaire was sent to 493 rural clinics in Japan. The main outcome was the realization of at-home deaths for cancer patients. Results: Among the 264 clinics (54%) that responded to the survey, there were 194 clinics with the realization of at-home death. The use of a clinical pathway (adjusted odds ratio 4.19; 95% confidence interval 1.57–11.19) and the provision of organized palliative care (adjusted odds ratio 19.16; 95% confidence interval 7.56–48.52) were associated with the prediction of at-home death, irrespective of island geography or the number of doctors and nurses. Conclusions: Having a clinical pathway and systematizing palliative care could be important to determine the possibility of at-home deaths for cancer patients in rural clinics in Japan.

Keywords: critical path; home care; interdisciplinary collaboration; neoplasms; palliative care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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