Strategies for Providing High-quality Palliative Care in Settings without Palliative Care Specialists: A Scoping Review

Ayumi TAKAO; Saori TAMURA; Miwa AOKI; Sena YAMAMOTO; Yoshiyuki KIZAWA; Harue ARAO

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Strategies for Providing High-quality Palliative Care in Settings without Palliative Care Specialists: A Scoping Review

VernacularTitle:緩和ケアの専門家がいない環境で質の高い緩和ケアを提供するための方略：スコーピングレビュー
Author: Ayumi TAKAO ¹ ; Saori TAMURA ² ; Miwa AOKI ² ; Sena YAMAMOTO ² ; Yoshiyuki KIZAWA ³ ; Harue ARAO ²
Author Information

1. School of Nursing, Osaka Metropolitan University
2. Division of Health Sciences, Osaka University Graduate School of Medicine
3. Department of Palliative and Supportive Care, Institute of Medicine, University of Tsukuba
Keywords: palliative care; specialist; generalist; review
From:Palliative Care Research 2025;20(1):9-21
CountryJapan
Language:ja
Abstract: Objective: To identify effective strategies to provide high-quality palliative care in settings where palliative care specialists are scarce, particularly in Japan. Methods: A scoping review of literature (in English) was conducted using Arksey and O’Malley’s methodological framework. Electronic databases (MEDLINE, CINAHL, and the Cochrane Library) were searched and supplemented with a manual search of relevant journal articles. Results: Nine studies met our inclusion criteria. Four key strategies have emerged: (1) developing a video consultation system to improve the timeliness of care; (2) providing online consultations by specialists to support general practitioners; (3) training nurses to manage the palliative care process; and (4) transferring knowledge and information from experts to non-specialists. Conclusion: Based on these strategies, creating a system tailored to the specific needs and readiness of palliative care in Japan is necessary. The effectiveness of these strategies should be evaluated in future research.