2019 Volume 1 Issue 1 Pages 31-37
In Japan, only a few hospitals play a role in home medical care including end-of-life care. We retrospectively investigated the clinical course and outcomes of 42 patients with cancer who had received home medical care provided by our hospital. Of the 42 cancer patients, 37 died and 5 were transferred to other facilities such as a hospice. Regarding place of death, 23 patients (62.2%) died at home, 13 patients (35.1%) in our hospital, and 1 patient in the emergency room. Of the 13 patients who died in the hospital, dyspnea was the most frequent chief complaint, reported by 6 (46.2%), and 11 (84.6%) who complained of the difficulty in continuing home care owing to family caregiving burden. Significant factors not to die at home were ‘dyspnea’ , ‘no secondary family caregiver’ , ‘not being notified of a cancer diagnosis’ , and ‘not wanting to die at home when beginning home medical care’ , Commitment of hospitals to provide back-up beds could contribute to reducing the mental burden of patients and their caregivers during home medical care.