ABSTRACT
<b>Introduction:</b> The regional palliative care support center (PCSC) has set the following palliative care goals for correction of misunderstanding and prejudice of the general community against palliative care, home care and home death of cancer patients: practice palliative care early after diagnosis, educate the community to understand palliative care and build a regional palliative care cooperation system.<b> Method:</b> This study reviewed four years (2009-2012) of data from the PCSC. Outcome data of the patients were collected during outpatient care, inpatient care, and in-home care that were supported by the PCSC. The PCSC managed palliative care based on patient conditions and symptoms in the early stage after diagnosis. The PCSC worked to spread the idea and importance of palliative care to the general community and health care professionals of the region, and also worked to promote the regional palliative care cooperation. <b>Result:</b> These efforts led to an increase in the number of first center visit of patients, especially introduction patients, and an extension of the period of treatments of both tumor department and palliative care department. These outcomes resulted in an increase in the rate of in-home care transitions, the length of in-home care and the number of deaths at home. These results suggest that the place of appropriate medical and caregiving treatments and the place of death are converting into home gradually from hospital.
ABSTRACT
<b>Background</b><br> In recent years, inbound tourists to Japan are increasing. Although they rarely suffer diseases or injuries during travels, they may feel anxiety for medical services in foreign countries. This study was aimed to consider how inbound tourists visiting Japan feel about Japanese medical cares.<br><b>Methods</b><br> Inbound tourists who came to the Tokyo Sightseeing Information Center were investigated. The questionnaire composed of 12 items relating to Japanese medical cares and levels was made in three languages; English, Chinese and Korean.<br><b>Results</b><br> A total of 163 tourists including 98 English speakers, 39 Korean speakers and 26 Chinese speakers were enrolled in the study. (1) Native English speakers had a high anxiety about the communication with Japanese medical staffs (p<0.001). (2) Chinese and Korean speakers subjective estimated the Japanese medical level low (p <0.001). (3) Chinese and Korean speakers had a high anxiety for medical costs while traveling (p<0.001). (4) In a case of emergency, English speakers mostly “look for a drugstore and a hospital”, while Chinese and Korean speakers mostly “contact a travel agency and a tour conductor”.<br><b>Conclusion</b><br> Considering foreign tourists' needs vary with their nationality and culture, Medical staffs should support them to have desired medical care in Japan.