Development and Practical Test of Quality Indicators for Palliative Care in Patients With Chronic Heart Failure

Hamatani, Yasuhiro; Takada, Yasuko; Miyamoto, Yoshihiro; Kawano, Yukie; Anchi, Yuta; Shibata, Tatsuhiro; Suzuki, Atsushi; Nishikawa, Mitsunori; Ito, Hiroto; Kato, Masashi; Shiga, Tsuyoshi; Fukumoto, Yoshihiro; Izumi, Chisato; Yasuda, Satoshi; Ogawa, Hisao; Sugano, Yasuo; Anzai, Toshihisa

Development and Practical Test of Quality Indicators for Palliative Care in Patients With Chronic Heart Failure

Hamatani, Yasuhiro; Takada, Yasuko; Miyamoto, Yoshihiro et al.

社団法人日本循環器学会(The Japanese Circulation Society)JCS, 2020, 84(4), 584-591

Permalink : https://hdl.handle.net/2115/77815

このアイテムのアクセス数:627件（2026-08-11 07:47 集計）

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https://doi.org/10.1253/circj.CJ-19-0225			18

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アクセス権	open access
URI	https://hdl.handle.net/2115/77815
タイトル	Development and Practical Test of Quality Indicators for Palliative Care in Patients With Chronic Heart Failure
著者	Hamatani, Yasuhiro ; Takada, Yasuko ; Miyamoto, Yoshihiro ; Kawano, Yukie ; Anchi, Yuta ; Shibata, Tatsuhiro ; Suzuki, Atsushi ; Nishikawa, Mitsunori ; Ito, Hiroto ; Kato, Masashi ; Shiga, Tsuyoshi ; Fukumoto, Yoshihiro ; Izumi, Chisato ; Yasuda, Satoshi ; Ogawa, Hisao ; Sugano, Yasuo ; Anzai, Toshihisa
著者名 Hamatani, Yasuhiro
著者名 Takada, Yasuko
e-Rad_Researcher 10312224 著者名 Miyamoto, Yoshihiro
著者名 Kawano, Yukie
著者名 Anchi, Yuta
著者名 Shibata, Tatsuhiro
e-Rad_Researcher 00625626 著者名 Suzuki, Atsushi
著者名 Nishikawa, Mitsunori
著者名 Ito, Hiroto
著者名 Kato, Masashi
著者名 Shiga, Tsuyoshi
e-Rad_Researcher 70363372 著者名 Fukumoto, Yoshihiro
著者名 Izumi, Chisato
著者名 Yasuda, Satoshi
e-Rad_Researcher 50177135 著者名 Ogawa, Hisao
e-Rad_Researcher 00317124 著者名 Sugano, Yasuo
e-Rad_Researcher 60232089 著者名 Anzai, Toshihisa
言語	英語
キーワード	Heart failure
	Palliative care
	Quality indicators
発行日	2020-04
出版者	社団法人日本循環器学会(The Japanese Circulation Society)JCS
収録物名	社団法人日本循環器学会(The Japanese Circulation Society)JCS
巻(号)	84(4)
ページ	584-591
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
PISSN	1346-9843
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1253/circj.CJ-19-0225