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Association between person-centred care quality and advance care planning participation in haemodialysis.
Kanakubo, Yusuke; Kurita, Noriaki; Ukai, Mamiko; Aita, Tetsuro; Inanaga, Ryohei; Kawaji, Atsuro; Toishi, Takumi; Matsunami, Masatoshi; Munakata, Yu; Suzuki, Tomo; Okada, Tadao.
Afiliación
  • Kanakubo Y; Tessyoukai Kameda Family Clinic Tateyama, Tateyama-city, Chiba, Japan.
  • Kurita N; Division of Clinical Epidemiology, Research Center for Medical Sciences, The Jikei University School of Medicine, Minato-ku, Tokyo, Japan.
  • Ukai M; Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima-city, Fukushima, Japan kuritanoriaki@gmail.com.
  • Aita T; Department of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University Hospital, Fukushima-city, Fukushima, Japan.
  • Inanaga R; Tessyoukai Kameda Family Clinic Tateyama, Tateyama-city, Chiba, Japan.
  • Kawaji A; Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima-city, Fukushima, Japan.
  • Toishi T; Department of General Internal Medicine, Fukushima Medical University Hospital, Fukushima-city, Fukushima, Japan.
  • Matsunami M; Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima-city, Fukushima, Japan.
  • Munakata Y; Department of Nephrology, Shin-Yurigaoka General Hospital, Kawasaki-city, Kanagawa, Japan.
  • Suzuki T; Department of Nephrology, Kameda Medical Center, Kamogawa-city, Chiba, Japan.
  • Okada T; Department of Nephrology, Kameda Medical Center, Kamogawa-city, Chiba, Japan.
BMJ Support Palliat Care ; 2024 Mar 01.
Article en En | MEDLINE | ID: mdl-38429114
ABSTRACT

OBJECTIVE:

Person-centred care (PCC), which incorporates patients' preferences and values for medical care and their life, has been proposed in decision-making for promoting advance care planning (ACP) among patients with kidney failure. Therefore, we aimed to examine variations in PCC across facilities and the association between PCC and ACP participation.

METHODS:

This multicentre cross-sectional study included Japanese adults undergoing outpatient haemodialysis at six dialysis centres. The main exposure was PCC, measured using the 13-item Japanese version of the Primary Care Assessment Tool-short form. The main outcome was ACP participation as defined by discussion with the attending physician or written documentation or notes regarding treatment preferences. A general linear model was used to examine the covariates of the quality of PCC. Modified Poisson regression models were used to examine the associations of ACP participation.

RESULTS:

A total of 453 individuals were analysed; 26.3% of them participated in ACP. Higher PCC was associated with greater ACP participation in a dose-response manner (adjusted prevalence ratios for the first to fourth quartiles 1.36, 2.31, 2.64 and 3.10, respectively) in respondents with usual source of care (USC) than in those without USC. Among the PCC subdomains, first contact, longitudinality, comprehensiveness (services provided) and community orientation were particularly associated with ACP participation. A maximum of 12.0 points of facility variation was noted in the quality of PCC.

CONCLUSIONS:

High quality of PCC was associated with ACP participation. The substantial disparity in PCC between facilities provides an opportunity to revisit the quality improvement in PCC.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMJ Support Palliat Care Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMJ Support Palliat Care Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido