Akiyama Akiko, Hanabusa Hiroo, Mikami Hiroshi
Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
J Aging Res. 2011;2011:610520. doi: 10.4061/2011/610520. Epub 2011 May 29.
To examine factors influencing home death, an anonymous survey was mailed to 998 home care supporting clinics (HCSCs) in the 23 wards of Tokyo, Japan. We classified the HCSCs into two types (single physician practice and multiple physician practice) and identified factors of each type of practice that predict home death. The factors associated with a greater probability of dying at home were as follows: in the multiple physician practices, collaboration with hospitals and teaching coping skills to the family members and, in the single physician practices, collaboration with clinics. Our findings suggest that home end-of-life care services are unlikely to be achieved without cooperation among service providers and without improvement of the family members' coping skills.
为了研究影响在家中死亡的因素，我们向日本东京23个区的998家家庭护理支持诊所（HCSCs）邮寄了一份匿名调查问卷。我们将这些家庭护理支持诊所分为两种类型（单人医生执业诊所和多人医生执业诊所），并确定了每种执业类型中预测在家中死亡的因素。与在家中死亡概率较高相关的因素如下：在多人医生执业诊所中，与医院的合作以及向家庭成员传授应对技巧；在单人医生执业诊所中，与其他诊所的合作。我们的研究结果表明，如果服务提供者之间缺乏合作，且家庭成员的应对技巧没有提高，那么在家中提供临终护理服务不太可能实现。
