{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:09:48Z","timestamp":1789711788128,"version":"4.0.1"},"reference-count":9,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"the Kobayashi Cancer Research Foundation of Japan"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/Objectives:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261460945","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:16:45Z","timestamp":1781846205000},"page":"1444-1447","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Injectable Opioid Use in Home Palliative Care: A Pilot Survey of Multidisciplinary Role Sharing and Readiness"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4920-5130","authenticated-orcid":false,"given":"Shinya","family":"Kajiura","sequence":"first","affiliation":[{"name":"Department of Medical Oncology and Palliative Medicine, Toyama University Hospital, Toyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiko","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Home Palliative Care Committee, Takaoka Medical Association, Takaoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Hirano","sequence":"additional","affiliation":[{"name":"Home Palliative Care Committee, Takaoka Medical Association, Takaoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiro","family":"Koseki","sequence":"additional","affiliation":[{"name":"Home Palliative Care Committee, Takaoka Medical Association, Takaoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nozomu","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology and Palliative Medicine, Toyama University Hospital, Toyama, Japan."},{"name":"Home Palliative Care Committee, Takaoka Medical Association, Takaoka, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuji","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology and Palliative Medicine, Toyama University Hospital, Toyama, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19880715)62:2<407::AID-CNCR2820620227>3.0.CO;2-T"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/nan.0000000000000511"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.12.019"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104275"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163241287639"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/pharmacy10050112"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp20X712625"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13319"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01332-z"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261460945","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261460945","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261460945","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:44:37Z","timestamp":1789710277000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261460945"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,18]]},"references-count":9,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1177\/10966218261460945"],"URL":"https:\/\/doi.org\/10.1177\/10966218261460945","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,18]]}}}