Positive reactions of hospital staff to feedback by specialists.

57 Background: Although cancer is the leading cause of death in Japan, systematic quality monitoring of cancer care has not been established. In an attempt to explore such systems, we measured the quality of cancer care in several facilities through chart reviews by tumor registrars. The subsequent step is the provision of effective feedback of these results to the practicing physicians and other health professionals for further improvement. However, the receptiveness of lead practicing physicians may be debatable. Methods: We measured 23 quality indicators (QIs) (10 indicators for stomach cancer and 13 for colorectal cancer) in 10 designated cancer hospitals between 2010 and 2011. The staff who worked in these hospitals could see results of the measured QIs on web pages. All three designated cancer hospitals and one large general hospital in Okinawa Prefecture participated in feedback meetings. A feedback meeting was held in each of the four hospitals for one hour each. The feedback meeting consisted of ...