Journal of palliative medicine · 2026
Injectable Opioid Use in Home Palliative Care: A Pilot Survey of Multidisciplinary Role Sharing and Readiness.
СтатьяНазвание и аннотация: Перевод в очереди
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Kajiura Shinya, Hayashi Tomohiko, Hirano Makoto, Koseki Shiro, Murakami Nozomu, Hayashi Ryuji
Аннотация
BACKGROUND/OBJECTIVES: Injectable opioid use in home palliative care requires multiprofessional coordination, but regional implementation data are limited. We conducted a pilot survey to describe experience, task sharing, difficulties, and future willingness.
METHODS: We performed an anonymous web-based cross-sectional survey of multidisciplinary professionals involved in community-based palliative care in a Japanese regional health care area.
RESULTS: Among 159 respondents, 117 (73.6%) had prior opioid experience for cancer pain, and 73/117 (62.4%) had prior injectable opioid experience. Initiation was mainly attributed to hospital physicians, maintenance dose management to hospital and clinic/home care physicians, and solution or cassette exchange to nurses. Difficulties when starting or modifying injectable opioids were reported by 27/73 respondents (37.0%). Future willingness was higher with prior experience (41/72, 56.9%) than without prior experience (7/83, 8.4%).
CONCLUSION: This pilot survey suggests that home injectable opioid practice is a multidisciplinary workflow with an experience-related readiness gap, supporting broader regional evaluation and implementation-focused support.
METHODS: We performed an anonymous web-based cross-sectional survey of multidisciplinary professionals involved in community-based palliative care in a Japanese regional health care area.
RESULTS: Among 159 respondents, 117 (73.6%) had prior opioid experience for cancer pain, and 73/117 (62.4%) had prior injectable opioid experience. Initiation was mainly attributed to hospital physicians, maintenance dose management to hospital and clinic/home care physicians, and solution or cassette exchange to nurses. Difficulties when starting or modifying injectable opioids were reported by 27/73 respondents (37.0%). Future willingness was higher with prior experience (41/72, 56.9%) than without prior experience (7/83, 8.4%).
CONCLUSION: This pilot survey suggests that home injectable opioid practice is a multidisciplinary workflow with an experience-related readiness gap, supporting broader regional evaluation and implementation-focused support.