title: [Current problems for outpatients undergoing cancer chemotherapy in Ehime Priority Hospitals of Cancer Care Network (Ehime Cancer Kyoten Hospitals)].
abstract: Ehime Priority Hospitals of Cancer Care Network(Ehime Cancer Kyoten Hospitals)regularly have meetings to discus the current problems in cancer care in Ehime Prefecture. We established three subcommittees:"Registration of Cancer Incident," "Critical Paths for the Management of Patients with Cancer,"and"Palliative Care for Patients with Advanced Cancer"to exchange our opinions. We recently set up a new subcommittee related to the physical and spiritual care of patients undergoing chemotherapy treatment,"A Subcommittee dealing with Cancer Chemotherapy and its Management"."This subcommittee has tried to identify current problems with chemotherapy for outpatients in each institution through questionnaire and analysis. As a result of this survey, it was found that Ehime Priority Hospitals have total of seventy-three beds for outpatients undergoing chemotherapy, and that they performed chemotherapy 19, 671 times in 2008. A total of eight oncology physicians and sixteen oncology nurses were engaged in performing chemotherapy in this system. The questions patients most frequently asked during chemotherapy concerned the management of therapy-related complications, dealing with problems at night and during holidays after chemotherapy, and financial problems related to the costs of treatment. In this study we found three issues that need to be managed in Ehime Priority Hospitals. First, for the nursing of outpatients undergoing chemotherapy, more staff engaged in different types of care is required. Second, a new system to deal with emergencies at night and during holidays after chemotherapy is necessary, because Ehime Priority Hospitals use the same system to deal with chemotherapy patients as for other patients. Third, cooperation between pharmacies and out-clinics is important for patient compliance during chemotherapy, especially for the administration of oral anti-tumor agents. Ehime Priority Hospitals of Cancer Care Network is trying to improve each institution while dealing with these problems.
authors.affiliation: Chemotherapy Room for Outpatients, National Shikoku Cancer Center.
authors.forename: Junko
authors.initials: J
authors.lastname: Morita
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Yakushijin
authors.forename: Yoho
authors.initials: Y
authors.lastname: Kojima
authors.forename: Kikue
authors.initials: K
authors.lastname: Tsuneoka
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Hiromi
authors.initials: H
authors.lastname: Mori
authors.forename: Hiroe
authors.initials: H
authors.lastname: Yamashita
authors.forename: Ikuko
authors.initials: I
authors.lastname: Yamaguchi
authors.forename: Takane
authors.initials: T
authors.lastname: Fujita
authors.forename: Takuya
authors.initials: T
authors.lastname: Yano
authors.forename: Tetsuaki
authors.initials: T
authors.lastname: Matsuhisa
authors.forename: Kenzo
authors.initials: K
authors.lastname: Okada
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shiraishi
authors.forename: Masamichi
authors.initials: M
authors.lastname: Hara
authors.forename: Takeshi
authors.initials: T
authors.lastname: Matsuno
authors.forename: Masato
authors.initials: M
authors.lastname: Tanimizu
mesh_terms: D000554:Ambulatory Care Facilities / Q000600:supply & distribution; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D002173:Cancer Care Facilities / Q000600:supply & distribution; D019058:Community Networks; D019091:Critical Pathways; D006742:Hospital Bed Capacity; D006764:Hospitals, Community / Q000600:supply & distribution; D006779:Hospitals, Public / Q000600:supply & distribution; D006801:Humans; D007564:Japan; D009369:Neoplasms / Q000188:drug therapy*; D010045:Outpatients; D010348:Patient Care Team; D011795:Surveys and Questionnaires
chemical_list: D000970:Antineoplastic Agents