How and Why Did a Regional Palliative Care Program Lead to Changes in a Region? A Qualitative Analysis of the Japan OPTIM Study Chizuru Imura, RN, Tatsuya.

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How and Why Did a Regional Palliative Care Program Lead to Changes in a Region? A Qualitative Analysis of the Japan OPTIM Study Chizuru Imura, RN, Tatsuya Morita, MD, Masashi Kato, MD, Nobuya Akizuki, MD, PhD, Hiroya Kinoshita, MD, Yutaka Shirahige, MD, PhD, Satoshi Suzuki, MD, Toru Takebayashi, MD, PhD, Ritsuko Yoshihara, RN, MN, Kenji Eguchi, MD, PhD Journal of Pain and Symptom Management Volume 47, Issue 5, Pages 849-859 (May 2014) DOI: 10.1016/j.jpainsymman.2013.06.002 Copyright © 2014 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 1 Improved communication and cooperation among regional health care professionals. Journal of Pain and Symptom Management 2014 47, 849-859DOI: (10.1016/j.jpainsymman.2013.06.002) Copyright © 2014 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 2 Increased confidence in system to care for cancer patients at home. Journal of Pain and Symptom Management 2014 47, 849-859DOI: (10.1016/j.jpainsymman.2013.06.002) Copyright © 2014 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 3 Improved knowledge/skills, practice, and perception about palliative care. Journal of Pain and Symptom Management 2014 47, 849-859DOI: (10.1016/j.jpainsymman.2013.06.002) Copyright © 2014 U.S. Cancer Pain Relief Committee Terms and Conditions