• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Prospective cohort study for the change in advance directives among community-dwelling older adults

Research Project

Project/Area Number 15K19151
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Medical sociology
Research InstitutionTottori University

Principal Investigator

Kinjo Aya  鳥取大学, 医学部, 准教授 (50529427)

Project Period (FY) 2015-03-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Keywords事前指示 / アドバンス・ケア・プランニング / 終末期医療 / 地域在住高齢者 / コホート研究 / 終末期 / 高齢者
Outline of Final Research Achievements

For many community-dwelling older adults, preferences about the medical policy they would like to receive at the end of life do not change with the onset of illness or physical decline. Among the elderly who do not wish to think about their own end-of-life care, the intentions expressed are likely to change. When checking the intention of receiving medical care at the end-of-life in Japan, it would be good to have an option of "do not wish to think about my own end-of-life" as well. The older they get, the more difficult it becomes to elicit "preferences about the medical policy they would like to receive at the end of life" from the elderly who do not wish to think about their own end-of-life care. A change to "I want to receive as much medical care as possible" was observed among those who had a life event that increased their role or value.

Academic Significance and Societal Importance of the Research Achievements

本研究では、地域在住高齢者が終末期に受ける医療行為の希望をどのように示してもらえばよいのか、表明した終末期に受ける医療方針の希望が変化するのかと、変化に関わる要因について明らかにした。この結果を元に、地域在住高齢者が定期的に意向を表明しやすいツールを開発できる。それにより意向が表明しやすくなり、高齢者の尊厳保持、家族の葛藤や、医療者の負担軽減、不要な医療行為の削減といった面での改善が期待される。

Report

(9 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (1 results)

All 2021

All Presentation (1 results)

  • [Presentation] 地域在住高齢者に終末期医療の意向を確認する内容の検討2021

    • Author(s)
      金城文
    • Organizer
      日本公衆衛生学会
    • Related Report
      2021 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2024-01-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi