Usefulness and perceived-barriers of patient-held-records in palliative care settings: the OPTIM-study
10.2512/jspm.7.382
- VernacularTitle:患者所持型情報共有ツール『わたしのカルテ』の評価: OPTIM-study
- Author:
Tatsuya Morita
;
Kazue Komura
;
Yumi Sakuma
;
Chizuru Imura
;
Yoshiko Nozue
;
Hiroya Kinoshita
;
Yutaka Shirahige
;
Akemi Yamagishi
;
Satoshi Suzuki
- Publication Type:Journal Article
- Keywords:
palliative care;
region;
patient-held-record
- From:Palliative Care Research
2012;7(2):382-388
- CountryJapan
- Language:Japanese
-
Abstract:
The primary aim of this study was to describe how patient-held-records was used in the regional palliative care program (OPTIM-study). The number of patient-held-records disseminated was 1,131 per region per year. A total of 15% and 16% of 706 physicians and 2,236 nurses in the region reported that they used patient-held-records disseminated during the study periods, respectively. In-depth interview identified themes [difficulty in dissemination], potential benefits of patient-held-records ([improved sense-of-control of patients], [improved information sharing among health care professionals]), and barriers ([lack of patient-perceived benefits and patient burden], [necessity that all health care professionals involved should be aware the value of patient-held-records and understand how to use it]). Of 11 hospitals who introduced patient-held-records, only 2 hospitals continued to use it during 3-year study periods. In conclusion, region-wide dissemination of patient-held-records seems to be unfeasible in many regions in Japan.
