| Title: | Development and Practical Test of Quality Indicators for Palliative Care in Patients With Chronic Heart Failure |
| Authors: | Hamatani, Yasuhiro Browse this author |
| Takada, Yasuko Browse this author |
| Miyamoto, Yoshihiro Browse this author →KAKEN DB |
| Kawano, Yukie Browse this author |
| Anchi, Yuta Browse this author |
| Shibata, Tatsuhiro Browse this author |
| Suzuki, Atsushi Browse this author →KAKEN DB |
| Nishikawa, Mitsunori Browse this author |
| Ito, Hiroto Browse this author |
| Kato, Masashi Browse this author |
| Shiga, Tsuyoshi Browse this author |
| Fukumoto, Yoshihiro Browse this author →KAKEN DB |
| Izumi, Chisato Browse this author |
| Yasuda, Satoshi Browse this author |
| Ogawa, Hisao Browse this author →KAKEN DB |
| Sugano, Yasuo Browse this author →KAKEN DB |
| Anzai, Toshihisa Browse this author →KAKEN DB |
| Keywords: | Heart failure |
| Palliative care |
| Quality indicators |
| Issue Date: | Apr-2020 |
| Publisher: | 社団法人 日本循環器学会(The Japanese Circulation Society)JCS |
| Journal Title: | 社団法人 日本循環器学会(The Japanese Circulation Society)JCS |
| Volume: | 84 |
| Issue: | 4 |
| Start Page: | 584 |
| End Page: | 591 |
| Publisher DOI: | 10.1253/circj.CJ-19-0225 |
| Abstract: | Background: Palliative care is highly relevant for patients with heart failure (HF), and there is a need for quantitative information on quality of care. Accordingly, this study aimed to develop a set of quality indicators (QIs) for palliative care of HF patients, and to conduct a practical pilot measurement of the proposed QIs in clinical practice. Methods and Results: We used a modified Delphi technique, a consensus method that involves a comprehensive literature review, face-to-face multidisciplinary panel meeting, and anonymous rating in 2 rounds. A 15-member multidisciplinary expert panel individually rated each potential indicator on a scale of 1 (lowest) to 9 (highest) for appropriateness. All indicators receiving a median score >= 7 without significant disagreement were included in the final set of QIs. Through the consensus-building process, 35 QIs were proposed for palliative care in HF patients. Practical measurement in HF patients (n=131) from 3 teaching hospitals revealed that all of the proposed QIs could be obtained retrospectively from medical records, and the following QIs had low performance (<10%): "Intervention by multidisciplinary team", "Opioid therapy for patients with refractory dyspnea", and "Screening for psychological symptoms". Conclusions: The first set of QIs for palliative care of HF patients was developed and could clarify quantitative information and might improve the quality of care. |
| Rights: | https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode |
| Type: | article |
| URI: | http://hdl.handle.net/2115/77815 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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