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Current situation of the hospitalization of persons without family in Japan and related medical challenges
This study aims to determine the approximate number of hospitalizations of persons without family and the medical challenges they encounter in hospitals across Japan. Self-administered questionnaires were mailed to 4,000 randomly selected hospitals nationwide to investigate the actual conditions and...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237481/ https://www.ncbi.nlm.nih.gov/pubmed/37267321 http://dx.doi.org/10.1371/journal.pone.0276090 |
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author | Yamazaki, Sayaka Tamiya, Nanako Muto, Kaori Hashimoto, Yuki Yamagata, Zentaro |
author_facet | Yamazaki, Sayaka Tamiya, Nanako Muto, Kaori Hashimoto, Yuki Yamagata, Zentaro |
author_sort | Yamazaki, Sayaka |
collection | PubMed |
description | This study aims to determine the approximate number of hospitalizations of persons without family and the medical challenges they encounter in hospitals across Japan. Self-administered questionnaires were mailed to 4,000 randomly selected hospitals nationwide to investigate the actual conditions and problems, decision-making processes, and use of the government-recommended Guidelines for the hospitalization of, and decision-making support for, persons without family. To identify the characteristics of each region and role of hospitals, chi-square tests were used to make separate group comparisons by hospital location and type. Responses were received from 1,271 hospitals (31.2% response rate), of which 952 hospitals provided information regarding the number of admissions of persons without family. The mean (SD) and median number of hospitalizations (approximate number per year) of patients without family was 16 (79) and 5, respectively. Approximately 70% of the target hospitals had experienced the hospitalization of a person without family, and 30% of the hospitals did not. The most common difficulties encountered during the hospitalization were collecting emergency contact information, decision-making related to medical care, and discharge support. In the absence of family members and surrogates, the medical team undertook the decision-making process, which was commonly performed according to manuals and guidelines and by consulting an ethics committee. Regarding the use of the government-recommended Guidelines, approximately 70% of the hospitals that were aware of these Guidelines responded that they had never taken any action based on these Guidelines, with significant differences by region and hospital type. To solve the problems related to the hospitalization of persons without family, the public should be made aware of these Guidelines, and measures should be undertaken to make clinical ethics consultation a sustainable activity within hospitals. |
format | Online Article Text |
id | pubmed-10237481 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-102374812023-06-03 Current situation of the hospitalization of persons without family in Japan and related medical challenges Yamazaki, Sayaka Tamiya, Nanako Muto, Kaori Hashimoto, Yuki Yamagata, Zentaro PLoS One Research Article This study aims to determine the approximate number of hospitalizations of persons without family and the medical challenges they encounter in hospitals across Japan. Self-administered questionnaires were mailed to 4,000 randomly selected hospitals nationwide to investigate the actual conditions and problems, decision-making processes, and use of the government-recommended Guidelines for the hospitalization of, and decision-making support for, persons without family. To identify the characteristics of each region and role of hospitals, chi-square tests were used to make separate group comparisons by hospital location and type. Responses were received from 1,271 hospitals (31.2% response rate), of which 952 hospitals provided information regarding the number of admissions of persons without family. The mean (SD) and median number of hospitalizations (approximate number per year) of patients without family was 16 (79) and 5, respectively. Approximately 70% of the target hospitals had experienced the hospitalization of a person without family, and 30% of the hospitals did not. The most common difficulties encountered during the hospitalization were collecting emergency contact information, decision-making related to medical care, and discharge support. In the absence of family members and surrogates, the medical team undertook the decision-making process, which was commonly performed according to manuals and guidelines and by consulting an ethics committee. Regarding the use of the government-recommended Guidelines, approximately 70% of the hospitals that were aware of these Guidelines responded that they had never taken any action based on these Guidelines, with significant differences by region and hospital type. To solve the problems related to the hospitalization of persons without family, the public should be made aware of these Guidelines, and measures should be undertaken to make clinical ethics consultation a sustainable activity within hospitals. Public Library of Science 2023-06-02 /pmc/articles/PMC10237481/ /pubmed/37267321 http://dx.doi.org/10.1371/journal.pone.0276090 Text en © 2023 Yamazaki et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Yamazaki, Sayaka Tamiya, Nanako Muto, Kaori Hashimoto, Yuki Yamagata, Zentaro Current situation of the hospitalization of persons without family in Japan and related medical challenges |
title | Current situation of the hospitalization of persons without family in Japan and related medical challenges |
title_full | Current situation of the hospitalization of persons without family in Japan and related medical challenges |
title_fullStr | Current situation of the hospitalization of persons without family in Japan and related medical challenges |
title_full_unstemmed | Current situation of the hospitalization of persons without family in Japan and related medical challenges |
title_short | Current situation of the hospitalization of persons without family in Japan and related medical challenges |
title_sort | current situation of the hospitalization of persons without family in japan and related medical challenges |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237481/ https://www.ncbi.nlm.nih.gov/pubmed/37267321 http://dx.doi.org/10.1371/journal.pone.0276090 |
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