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International Journal of Clinical Oncology
Erschienen in:

17.06.2022 | Original Article

Development of a national health policy logic model to accelerate the integration of oncology and palliative care: a nationwide Delphi survey in Japan

verfasst von: Yu Uneno, Maki Iwai, Naoto Morikawa, Keita Tagami, Yoko Matsumoto, Junko Nozato, Takaomi Kessoku, Tatsunori Shimoi, Miyuki Yoshida, Aya Miyoshi, Ikuko Sugiyama, Kazuhiro Mantani, Mai Itagaki, Akemi Yamagishi, Tatsuya Morita, Akira Inoue, Manabu Muto

Erschienen in: International Journal of Clinical Oncology | Ausgabe 9/2022

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Abstract

Background

Despite recommendations to deliver palliative care to cancer patients and their caregivers, their distress has not been alleviated satisfactorily. National health policies play a pivotal role in achieving a comprehensive range of quality palliative care delivery for the public. However, there is no standardised logic model to appraise the efficacy of these policies. This study aimed to develop a logic model of a national health policy to deliver cancer palliative care and to reach consensus towards specific policy proposals.

Methods

A draft version of the logic model and specific policy proposals were formulated by the research team and the internal expert panel, and the independent external expert panel evaluated the policy proposals based on the Delphi survey to reach consensus.

Results

The logic model was divided into three major conceptual categories: ‘care-delivery at cancer hospitals’, ‘community care coordination’, and ‘social awareness of palliative care’. There were 18 and 45 major and minor policy proposals, which were categorised into four groups: requirement of government-designated cancer hospitals; financial support; Basic Plan to Promote Cancer Control Programs; and others. These policy proposals were independently evaluated by 64 external experts and the first to third Delphi round response rates were 96.9–98.4%. Finally, 47 policy proposals reached consensus. The priority of each proposal was evaluated within the four policy groups.

Conclusions

A national health policy logic model was developed to accelerate the provision of cancer palliative care. Further research is warranted to verify the study design to investigate the efficacy of the logic model.
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Metadaten
Titel
Development of a national health policy logic model to accelerate the integration of oncology and palliative care: a nationwide Delphi survey in Japan
verfasst von
Yu Uneno
Maki Iwai
Naoto Morikawa
Keita Tagami
Yoko Matsumoto
Junko Nozato
Takaomi Kessoku
Tatsunori Shimoi
Miyuki Yoshida
Aya Miyoshi
Ikuko Sugiyama
Kazuhiro Mantani
Mai Itagaki
Akemi Yamagishi
Tatsuya Morita
Akira Inoue
Manabu Muto
Publikationsdatum
17.06.2022
Verlag
Springer Nature Singapore
Erschienen in
International Journal of Clinical Oncology / Ausgabe 9/2022
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI
https://doi.org/10.1007/s10147-022-02201-0

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