title: Identification of quality indicators of end-of-life cancer care from medical chart review using a modified Delphi method in Japan.
abstract: End-of life care is one of the principle components of cancer care. Measurement of the quality of care provided for end-of-life cancer patients is an important issue. The aim of this study was to identify the quality indicators (QIs) for end-of-life cancer care for Japanese patients using a medical chart review. A modified Delphi method for the development of QIs was adopted. Seventeen multi-professional specialists participated by rating the appropriateness and feasibility of potential QIs. Thirty QIs for end-of-life cancer care were ultimately identified within 4 domains: (1) symptom control, (2) decision-making and preference of care, (3) family care, and (4) psychosocial and spiritual concerns. These QIs will be useful for monitoring and evaluating end-of-life care for Japanese cancer patients. The QIs are feasible for use in any clinical setting and cover a comprehensive area in accordance with the World Health Organization's (WHO) definition of palliative care including physical, psychosocial, and spiritual concerns.
authors.affiliation: Department of Adult Nursing/Palliative Care Nursing, The University of Tokyo, Tokyo, Japan. miyasita-tky@umin.net
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Miyashita
authors.forename: Asumi
authors.initials: A
authors.lastname: Nakamura
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Morita
authors.forename: Seiji
authors.initials: S
authors.lastname: Bito
mesh_terms: D003697:Delphi Technique; D006801:Humans; D007564:Japan; D008499:Medical Records / Q000706:statistics & numerical data*; D009369:Neoplasms / Q000628:therapy*; D010166:Palliative Care / Q000592:standards*; D019984:Quality Indicators, Health Care; D011788:Quality of Life; D013727:Terminal Care