Table 2.
Physicians’ engagement with advance care planning and institution‐ and physician‐related factors
| Factor | Physicians’ engagement with advance care planning | p value | |
|---|---|---|---|
| Engaged, n (%) | Not engaged, n (%) | ||
| Facility factor | |||
| Facility type | |||
| Academic university | 22 (31) | 5 (18) | .003 |
| Cancer center | 18 (25) | 13 (48) | |
| National hospital | 6 (8) | 8 (30) | |
| Municipal/prefectural hospital | 8 (11) | 0 (0) | |
| Medical cooperation | 8 (11) | 1 (3.7) | |
| Other | 9 (12) | 0 (0) | |
| Supportive/palliative care clinic | |||
| Yes | 60 (85) | 24 (89) | .58 |
| No | 11 (15) | 3 (11) | |
| Palliative care ward | |||
| Yes | 24 (34) | 15 (56) | .049 |
| No | 47 (66) | 12 (44) | |
| Physician factor | |||
| Department | |||
| Surgical oncology | 52 (73) | 21 (84) | .47 |
| Medical oncology | 17 (24) | 4 (16) | |
| Palliative care | 2 (3) | 0 (0) | |
| Experience in oncology, years | |||
| <10 | 12 (17) | 4 (15) | .20 |
| 10–19 | 31 (44) | 17 (63) | |
| ≥20 | 28 (39) | 6 (22) | |
| Average number of outpatients in charge per day | |||
| <20 | 13 (18) | 7 (26) | .70 |
| 20–39 | 35 (50) | 13 (48) | |
| ≥40 | 22 (31) | 7 (26) | |
| Average number of patients with metastatic/advanced breast cancer in charge per week | |||
| <10 | 23 (32) | 10 (37) | .91 |
| 10–19 | 22 (31) | 8 (30) | |
| ≥20 | 26 (37) | 9 (33) | |
| Average consultation time with outpatients with metastatic/advanced breast cancer, min | |||
| <10 | 21 (30) | 11 (40) | .29 |
| 10–30 | 50 (70) | 16 (60) | |
| Opportunity to learn about communication skills in end‐of‐life discussions | |||
| Yes | 45 (63) | 10 (37) | .02 |
| No | 26 (37) | 17 (63) | |
| Total | 71 | 27 | |