The Expectations and Needs of the Role of Medical Social Workers in Palliative and End-of-Life Care from the Patients’ Perspective: A Factor Analysis from a Patient-Administered Questionnaire Survey

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  • 緩和ケア・終末期医療における医療ソーシャルワーカーの役割の必要性――患者への質問紙調査の因子分析結果――
  • カンワ ケア ・ シュウマツキ イリョウ ニ オケル イリョウ ソーシャルワーカー ノ ヤクワリ ノ ヒツヨウセイ : カンジャ エ ノ シツモンシ チョウサ ノ インシ ブンセキ ケッカ

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<p>This research aims to clarify patients’ needs and expectations regarding the role of medical social workers (MSW) in palliative and end-of-life care in Japan. A group of 188 cancer patients were given a questionnaire survey (response rate 77.7%). The respondents were divided into two groups: those who had received consultation from MSW in the past and those who had not. A factor analysis was performed for the group that had not received any consultation in the past. Five factors with 23 items were found within the group without any consultation experience. The five factors were as follows:developing a support plan for patients, helping patients who cannot confirm their intentions to make medical decisions, communicating patients’ feelings to medical professionals, sharing information with other professionals, and providing psychological support to patients and their families. The model was evaluated as valid, with the goodness of fit at GFI 0.981 and AGFI 0.976. This study confirmed the need for MSWs in palliative and end-of-life care in the Japanese health system to provide support to the patients and their families in dealing with the final moments of life.</p>

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