| Project/Area Number |
13672359
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Yamaguchi University |
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Principal Investigator |
FUKUMOTO Yohei Yamaguchi University, Hospital, Professor, 医学部附属病院, 教授 (90136193)
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| Co-Investigator(Kenkyū-buntansha) |
IMAI Kazuaki Yamaguchi University, Hospital, Research Associate, 医学部附属病院, 助手 (70335743)
MURAKAMI Fujio Yamaguchi University, Hospital, Associate Professor, 医学部附属病院, 助教授 (10253155)
TATEISHI Akio Yamaguchi University, Hospital, Associate Professor, 医学部附属病院, 助教授 (00155102)
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| Project Period (FY) |
2001 – 2002
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| Project Status |
Completed (Fiscal Year 2002)
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| Budget Amount *help |
¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 2002: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2001: ¥1,500,000 (Direct Cost: ¥1,500,000)
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| Keywords | Patient-Physician Relationship / Medical Interview / Autonomy / Clinical Ethics / 患者-医師関係 / 全人的医療 |
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| Research Abstract |
In order to accomplish a well relationship between the patient and physician andresolve an ethical problem in routine office practice, to master medical interview skills with the patient is very important for physician. However, little is concerned about the extent to which physicians try to give some medical information and foster patient involvement in decision making. In the preliminary study, we investigated whether physician communicated with the patient encouraging the patient's will for decision making using a method of the interview to actual patients of Yamaguchi University Hospital. As a result, 84 % of the patients answered to be able to tell an attending physician sufficiently about their conditions or worries, 96 % of them could be explained about their clinical states and the examined results and 84 % of them also could accept their diagnosis in the hospital
Then, we try to examine how clinician makes clinical decisions with patient currently by the methods of direct observation and evaluate the completeness of informed decision making by primary care physicians. Conversations between the patient and physician were recorded by audiotape in the primary care outpatient clinic and their discussions were analyzed for elements of informed decision making. The audio taped encounters contained about four clinical decisions. Overall, except for an agreement for physical examination, informed decision making about routine laboratory test, medication and follow up appointment was completed in 51.1〜85.7 % of cases. These results indicated that much efforts were necessary to encourage the informed decision making in daily clinical practice
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