Abstract
Objective : The aim of this study was to examine the functions and roles of hospice and palliative care facilities in the community in order to establish home hospice and palliative care.
Sample and method : Four (4) out of thirty-six (36) physicians in charge at all Japanese hospice and palliative care facilities were selected from those who answered a survey in November 1999. We chose 2 prefectures, and then 2 physicians from each prefecture. Four physicians were selected in total. The interview method was utilized.
Results : Selected facilities were well equipped appropriately staffed and performing unique activities. These facilities have home hospice functions as well. The four (4) facilities' average length of waiting time for admission was 1-2 weeks. It was explained to the patients and their families prior to admission that they could choose either home hospice care or facility care. The doctors all valued the importance of education as an important aspect of community service which consists of the education of private practice physicians, nurses who work at visiting nurses stations and community residents. Each of the four physicians exhibited a desire to serve patients with terminal illness early in their career. The physicians strongly felt that terminally ill patients should have a choice of home or facility care. They highly evaluated the role of nurses in hospice care and expect nurses to play a more important role in the future.
Conclusion : Two prefectures (4 facilities) recently showed different types of growth in hospice care. We expect that the growth of hospice care will be determined by community characteristics.
