A survey on the current status of clinical resources for diagnosis and treatment of breast cancer in rural hospitals of the Tohoku region in Japan

被引:5
作者
Ishida, Kazushige [1 ]
Ohnuki, Koji [2 ]
Usami, Shin [2 ]
Komatsu, Hideaki [1 ]
Sasaki, Akira [1 ]
机构
[1] Iwate Med Univ, Sch Med, Dept Surg, 2-1-1 Idai Dori, Shiwa, Iwate 0283695, Japan
[2] Iwate Cent Prefectural Hosp, Div Breast & Endocrine Surg, Morioka, Iwate, Japan
关键词
Breast cancer; Rural hospital; Rural region; Medical resources; Questionnaire survey;
D O I
10.1007/s12282-020-01144-6
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background We administered a questionnaire survey to assess the available clinical resources for the diagnosis and treatment of breast cancer and identify the issues faced by rural hospitals in the Tohoku region in Japan. Methods The term rural hospital was defined by the following three criteria: the facility is a certified regional cancer center and hospital, no breast specialist is on staff, and >= 10 breast surgeries per year have been performed. Thirty-eight rural hospitals were eligible, and each was sent a self-administered questionnaire consisting of 26 questions by mail. Results Responses were received from 29 of the 38 hospitals. Most of the hospitals had adequate facilities for diagnosis and treatment, but they needed specialists' support for >= 2 days per month. Approximately half of the hospitals indicated that applying resources for diagnosis and treatment of breast cancer, especially during planning of treatment and management of advanced breast cancer patients, was a burden. Interestingly, the hospitals felt that being able to provide treatment to their patients was more ideal rather than referring them to urban hospital like the prefectural cancer center and hospital providing specialized cancer treatment. Conclusions The surveyed rural hospitals needed practical and knowledge-based support from specialists. Unfortunately, the number of specialists is currently insufficient in Tohoku. Increased number of certified physicians, clinical pathways for sharing patient's information and updated knowledge, and information and communication technology for treatment with specialists' intervention in rural hospitals may solve issues in Tohoku.
引用
收藏
页码:161 / 167
页数:7
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