Family satisfaction with inpatient palliative care in Japan

Morita, T; Chihara, S; Kashiwagi, T
May 2002
Palliative Medicine;May2002, Vol. 16 Issue 3, p185
Academic Journal
Whereas satisfaction is one of the most important outcomes in palliative care settings, there have been no systematic studies investigating the effects of family- and organization-related variables on family satisfaction with care. To clarify factors contributing to family satisfaction with inpatient palliative care services, a cross-sectional mailed survey was performed. A 60-item questionnaire was mailed to 1026 bereaved subjects who had lost family members at one of 37 palliative care units in Japan to evaluate their sociodemographic characteristics and satisfaction levels with care. An institution survey was performed to collect organization-related variables. Caregiver satisfaction was rated on the Satisfaction scale for Family members receiving Inpatient Palliative Care (Sat-Fam-IPC). A total of 640 responses were analysed (response rate=62%). The responses to overall satisfaction were 'satisfied' in 41% and 'very satisfied' in 47%. The mean total score of the Sat-Fam-IPC was 82.4±13.2 on the 0-100 scale. The mean subscale scores were: 85.8±14.5 (Nursing Care), 81.5±18.4 (Symptom Palliation), 85.0±13.8 (Facility), 83.3±16.6 (Information), 83.1±17.3 (Availability), 78.3±18.9 (Family Care), and 79.8±17.3 (Cost). Significant determinants of family satisfaction identified were: nursing system, the number of nurses at night and presence of attending medical social workers (Nursing Care), patient age and the number of physicians (Symptom Palliation), floor space per bed (Facility), duration of admission and presence of attending medical social workers (Availability), patient age, family age, gender and occupational status (Family Care), patient age and the extra charge for a private room (Cost). In conclusion, informal caregivers are generally satisfied with inpatient palliative care services provided by members of the Japanese Association of Hospice and Palliative Care Units. The levels of satisfaction are influenced by various family- and organization-related variables.


Related Articles

  • Palliative care. Charles Campion-Smith // Pulse;10/20/2010, Vol. 70 Issue 31, p30 

    The article offers ten tips on how general practitioners (GP) could anticipate the wishes of a dying patient in palliative care.

  • Improving palliative care. Prasad, Ajitha // GP: General Practitioner;9/2/2002, p42 

    Highlights the need for more research on palliative care in the community for terminally ill patients in Great Britain. Important factors influencing the direction of palliative care in the community; Role of an informal carer; Factors to be kept in mind to ascertain the needs of a patient;...

  • Palliative Sedation in the Control of Refractory Symptoms. Rousseau, Paul // Journal of Palliative Medicine;Feb2005, Vol. 8 Issue 1, p10 

    Introduces a series of articles about palliative medicine, including the use of palliative sedation for uncontrolled physical symptoms in a retrospective analysis of several terminally ill patients admitted to a hospital-based palliative care unit in National Sanyo Hospital in Japan.

  • Advance care planning is a noble but flawed idea.  // Brown University Long-Term Care Quality Advisor;Jun98, Vol. 10 Issue 6, p1 

    Presents information on advanced planning for terminally ill patients, as it relates to palliative care. How to prepare a last will and testament; Goals of an advanced directive; Ways on how to provide care for terminally ill patients; Reference to findings of studies.

  • Palliative care research: trading ethics for an evidence base. Jubb, A. M. // Journal of Medical Ethics;Dec2002, Vol. 28 Issue 6, p342 

    Good medical practice requires evidence of effectiveness to address deficits in care, strive for further improvements, and justly apportion finite resources. Nevertheless, the potential of palliative care is still held back by a paucity of good evidence. These circumstances are largely...

  • A death of reason. Spence, Des // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;2/13/2010, Vol. 340 Issue 7742, p370 

    The author reflects on the palliative care for dying patients.

  • Left Brain, Right Brain. Kamal, Arif H. // Journal of Palliative Medicine;Aug2012, Vol. 15 Issue 8, p951 

    The poem "Left Brain, Right Brain," by Arif H. Kamal is presented.

  • Correspondence. Smith, J.; Taylor, Amanda; Jones, Andrea // International Journal of Palliative Nursing;Feb2003, Vol. 9 Issue 2, p86 

    Replies to the commentary of Daniel Kelly on the article 'An integrated care pathway for the last two days of life,' by A. Fowell et al and previously published in a 2002 issue of the 'International Journal of Palliative Nursing.' Necessity of providing palliative care services to the last days...

  • Disappointment and palliative care. Kelly, Daniel // International Journal of Palliative Nursing;Nov2010, Vol. 16 Issue 11, p523 

    The author addresses the challenges in providing palliative care. He considers the emotional response of patients upon realization that there is no cure for their condition. He looks at the role of professionals to handling the disappointment of patients. He emphasizes the need to recognize...

  • Improved accuracy of physicians' survival prediction for terminally ill cancer patients using the Palliative Prognostic Index. Morita, T.; Tsunoda, J.; Inoue, S.; Chihara, S. // Palliative Medicine;Sep2001, Vol. 15 Issue 5, p419 

    The Palliative Prognostic Index (PPI) has recently been developed for survival prediction in terminally ill cancer patients. To clarify whether physicians' clinical prediction of survival (CPS) can be improved using this objective assessment aid, two sequential prospective studies were performed...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics