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1049909107307376v1
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First published on December 26, 2007, doi:10.1177/1049909107307376

American Journal of Hospice and Palliative Medicine® 2008;25:33.

A more recent version of this article appeared on March 1, 2008

Article

Identification of Quality Indicators of End-of-Life Cancer Care From Medical Chart Review Using a Modified Delphi Method in Japan

Mitsunori Miyashita, Ph.D*

The University of Toyko

* To whom correspondence should be addressed. E-mail: miyasita-tky{at}umin.net.


  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.


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