1.Development and introduction of a regional cooperation clinical pathway for home palliative care
Koichiro Kobayashi ; Mayumi Murakami ; Tohru Tomiyama ; Nobuki Itakura ; Mariko Kato ; Izumi Nakaya ; Miwako Takeda ; Yuko Yokoyama ; Noriko Hirai ; Hiroyasu Kawakami
Palliative Care Research 2013;8(2):326-333
In order to promote regional cooperation in palliative care, we developed a regional cooperation clinical pathway for home palliative care that offers simple support and is easy to use. We then administered a questionnaire survey to 14 healthcare professionals with various specialties who were involved in the introduction of the pathway, and we revised the pathway on the basis of the survey results. The revised pathway was then tested in 13 patients who were discharged from 3 designated cancer care hospitals in Toyama City to home care, and another questionnaire survey was conducted afterwards in the same manner. The mean overall score on the questionnaire was 2 in seven, 3 in seven (on a scale of 0 to 3) at the time of introduction, whereas the score after trial use was 1 in one, 2 in four, 3 in five. We believe that more innovative approaches to the implementation of such pathways are required.
2.Support system probability using IT cloud for a palliative care team to support a home palliative care
Koichiro Kobayashi ; Mayumi Murakami ; Toru Tomiyama ; Mariko Kato ; Izumi Nakaya ; Miwako Takeda ; Yuko Yokoyama ; Noriko Hirai ; Hiroyasu Kawakami
Palliative Care Research 2013;8(2):371-375
Purpose and Methods: Aiming at the relief of suffering by the palliative care team and prompt information sharing between healthcare professionals with various specialties, We introduced new IT cloud system, carried out questionnaire survey and examined the usefulness to 11 persons of healthcare professionals. Five cases where the palliative care team was concerned during the hospitalize became a home palliative care to the tried half a year. Results: All the members were using the personal computer as an input device. Four persons were using the iPhone. Two persons had the experience inputted on the spot. Nine persons of the input time were 5 or less minutes. All the members were perusing at various places by various device. Urgently and vital mail was useful: 3 in six, 2 in three, 1 in one, 0 in one. Information content were suitable: 3 in nine, 2 in two. Cooperation were completed in the smooth: 3 in nine, 2 in two. Have you utilized EIR for the home palliative care?: 3 in nine, 2 in two. Conclution: To the support of information sharing and palliative care team by IT cloud system transduction, the useful probability was suggested in the home palliative care.