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Gan To Kagaku Ryoho. 2018 Mar;45:98-100.

[Actual Situation and Subjects in Calculations of Cancer-Patients Instruction/Management fee 2 at Hospital A - Focusing on Home-Cared Patient's Discomfort and Thoughts].

Gan to kagaku ryoho. Cancer & chemotherapy

[Article in Japanese]
Naoko Shinkai

Affiliations

  1. Outpatient Care Unit, Kofu Municipal Hospital.

PMID: 29650888

Abstract

Since 2010, Cancer-Patient Instruction and Management fees has been included in remuneration for medical services.At Hospital A, calculation of the Cancer-Patient Instruction and Management fees 1 and 2 was started in 2016. Since then, 2 years have passed.Interview contents of the Cancer-Patient Instruction and Management fee 2, which nurses have calculated, were reviewed and home care patient's discomfort during and thoughts about anti-cancer drug treatments were clarified. The contents of interviews were coded and analyzed.It was found that outpatients receiving anti-cancer drug treatment had faced the deaths of their fellow patients with the same disease, discovered the meaning of life and sense of self in struggle with the disease that is uncertain about the future, and continued the treatments to sustain life while taking their families into consideration.

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