Regional Collaboration of Palliative Care to Support the Wishes of Cancer Patients

Regarding regional cooperation in palliative care for advanced cancer, the problem is complicated by the fact that the 3 factors of hospital circumstances, regional circumstances, and the patient's own wishes are different. Depending on the hospital, the patient can be seen to the end, the palliative care resources are different depending on the region, and the patient's own wishes also change depending on the time. When considering the characteristic trajectory that a cancer patient will follow to the end, it is essential to prepare early, but what is important here is a double primary care physician system consisting of a cancer therapist and palliative care. However, in communication when introducing palliative care, it is important to consider the timing and the feeling that the patient has been abandoned. This period is an important point for patients, how to spend the end of their lives, and it is desirable to think carefully about how to approach it according to the region. Palliative care is not only medical care for dying, but also medical care that supports how to live at the end of life.