Factors Influencing Home Death in a Japanese Metropolitan Region
Table 4
Relationship between the proportion of home deaths and home care self-assessment.
Items
Single, *
value
Multiple, *
value
<10%,
10% <,
<10%,
10% <,
Our clinic has many patients who need intensive medical treatment.
3.6 ± 1.2 (2–5)
3.7 ± 0.8 (2–5)
.662
4.0 ± 1.0 (2–5)
3.7 ± 0.9 (2–5)
.223
The patient can be admitted to hospital in case of emergency.
2.8 ± 1.2 (1–5)
3.3 ± 0.9 (1–5)
.127
3.8 ± 1.1 (1–5)
3.2 ± 1.1 (1–5)
.042
The patient can be admitted to hospital in case of aggravation of symptoms.
2.6 ± 1.4 (1–5)
3.4 ± 0.9 (1–5)
.039
3.7 ± 1.1 (1–5)
3.2 ± 1.2 (1–5)
.132
Service use was possible when necessary without waiting.
3.2 ± 1.0 (1–5)
3.2 ± 1.0 (2–5)
.856
3.9 ± 0.9 (1–5)
3.4 ± 0.9 (2–5)
.028
Provision of care 24 hours a day is too heavy a task for our clinic.
3.5 ± 1.0 (2–5)
3.8 ± 0.9 (2–5)
.285
3.5 ± 1.4 (2–5)
4.0 ± 0.9 (1–5)
.180
Referral to home care appears too late to provide satisfactory care to the patient.
3.2 ± 0.8 (1–5)
3.1 ± 0.8 (2–5)
.700
3.6 ± 0.8 (2–5)
3.6 ± 0.8 (1–5)
1.000
The physicians attends a conference on treatment and nursing care of the patient to be held prior to patient's discharge
2.2 ± 1.5 (1–5)
2.3 ± 1.3 (1–5)
.812
3.5 ± 1.5 (1–5)
3.4 ± 1.2 (1–5)
.742
The physician give sufficient explanation to the family about the patient's present condition and the details of medical treatment.
4.2 ± 0.7 (3–5)
4.4 ± 0.6 (3–5)
.495
4.7 ± 0.5 (3–5)
4.3 ± 0.6 (4-5)
.017
The physicians give sufficient explanation to the family about the expected outcome
4.1 ± 0.7 (2–5)
4.4 ± 0.7 (3–5)
.273
4.6 ± 0.5 (3–5)
4.4 ± 0.6 (4-5)
.069
The physician dealt promptly with physical discomfort symptoms of the patient.
4.0 ± 0.9 (3–5)
3.9 ± 0.6 (2–5)
.450
4.4 ± 0.6 (3–5)
4.1 ± 0.6 (3–5)
.085
Consideration is given so that the patient can participate in the selection of treatment.
4.4 ± 0.6 (3–5)
4.3 ± 0.6 (3–5)
.455
4.5 ± 0.5 (4-5)
4.3 ± 0.5 (4-5)
.332
The family's wishes are respected in the selection of treatment.
4.4 ± 0.6 (3–5)
4.4 ± 0.6 (3–5)
.731
4.5 ± 0.5 (4-5)
4.4 ± 0.5 (4-5)
.456
The physician sufficiently talked with the family and the patient about the future plan.
4.3 ± 0.7 (3–5)
4.3 ± 0.7 (3–5)
.899
4.5 ± 0.5 (2–5)
4.3 ± 0.6 (4-5)
.176
The physician or the nurse teaches the family coping skills for medical procedure and nursing care to the patient.
3.8 ± 0.7 (3–5)
4.0 ± 0.6 (2–5)
.220
4.5 ± 0.5 (3–5)
4.2 ± 0.5 (4-5)
.022
The family could give direct nursing care to the patient.
3.5 ± 1.1 (2–5)
3.8 ± 0.6 (2–5)
.279
3.7 ± 0.7 (2–5)
3.5 ± 0.7 (2–5)
.299
Service use is in accordance with the wishes of the patient.
4.0 ± 0.8 (3–5)
3.9 ± 0.6 (3–5)
.714
4.1 ± 0.6 (3–5)
4.0 ± 0.6 (3–5)
.482
Service use is in accordance with the wishes of the family.
4.1 ± 0.8 (3–5)
4.0 ± 0.6 (3–5)
.502
4.1 ± 0.6 (2–5)
3.9 ± 0.6 (3–5)
.274
The physician visits bereaved families.
2.2 ± 1.3 (1–4)
2.2 ± 1.2 (1–5)
.901
2.9 ± 1.4 (1–5)
2.5 ± 1.2 (1–5)
.277
The nurse visits bereaved families.
2.9 ± 1.5 (1–5)
2.4 ± 1.2 (1–5)
.253
3.3 ± 1.3 (1–5)
2.8 ± 1.1 (1–5)
.148
mean ± SD (range); Student’s t-test; items of home care self-assessments were answered by rating from 1 (highly disagree) to 5 (highly agree). *We excluded the 60 clinics where the number of total patients was less than 10 persons per year or where the number of total patients or patients who died at home was unclear.
