Improving communication skills of healthcare professionals-Fundamental research based on an ecological model

• Project/Area Number: 18390600
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Community health/Gerontological nurisng
• Research Institution: National Cancer Center Research Institute and Research Center for Innovative Oncology, National Cancer Center Hospital East
• Principal Investigator: TAKAYAMA Tomoko National Cancer Center Research Institute and Research Center for Innovative Oncology, National Cancer Center Hospital East, がん対策情報センター・がん情報・統計部・診療実態調査室, 室長 (20362957)
• Co-Investigator(Kenkyū-buntansha): SEKI Yukiko 埼玉大学, 教育学部, 准教授 (30342687) ; WATANABE Yoshikazu 南山大学, 総合政策学部, 准教授 (70329754)
• Project Period (FY): 2006 – 2008
• Project Status: Completed (Fiscal Year 2008)
• Budget Amount: ¥7,550,000 (Direct Cost: ¥6,200,000、Indirect Cost: ¥1,350,000); Fiscal Year 2008: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000); Fiscal Year 2007: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000); Fiscal Year 2006: ¥1,700,000 (Direct Cost: ¥1,700,000)
• Keywords: エコロジカルモデル / 医療者-患者関係 / コミュニケーション / 医療安全 / 医療業務環境 / がん / 医師・患者間コミュニケーション / 情報探索行動 / 社会言語的アプローチ / 医療者・患者間コミュニケーション / 社会言語学

Research Abstract

医療者のコミュニケーション・スキル向上のために、医療環境の要件と現場に即した具体的な教育内容・方法について示唆をうることを目的として、医療場面のエコロジカルモデルを用いて、医療者-患者間のコミュニケーションについて分析を行った。その結果、さまざまな環境要因(厳しい業務環境、日本の医療組織的、制度的、文化的背景、診療時間の短さ等)がコミュニケーションの阻害要因となっていることが示され、これらの要因の改善の必要性があげられた。

Research Products

• [Journal Article] Should We Tell the Truth? Why Families in Japan Chose to Tell Their Loved Ones That They Were Victims of Iatrogenic HIV Infection. (2009)
  • Author(s): Seki Y, Yamazaki Y, Mizota Y, Inoue Y
  • Journal Title: Qualitative Health Research (in press) Pages: 0-0
• [Journal Article] How families in Japan view the disclosure of terminal illness: a study of iatrogenic HIV infection. (2009)
  • Author(s): Seki Y, Yamazaki Y, Mizota Y, Inoue Y
  • Journal Title: AIDS Care (in press) Pages: 0-0
• [Journal Article] Should We Tell the Truth? Why Families in Japan Chose to Tell Their Loved Ones That They Were Victims of Iatrogenic HIV Infection (2009)
  • Author(s): Seki Y, Yamazaki Y, Mizota Y, Inoue Y.
  • Journal Title: Qualitative Health Research accepted
  • Peer Reviewed
• [Journal Article] How families in Japan view the disclosure of terminal illness : a study of iatrogenic HIV infection (2009)
  • Author(s): Seki Y, Yamazaki Y, Mizota Y, Inoue Y.
  • Journal Title: AIDS Care accepted
  • Peer Reviewed
• [Presentation] コミュニケーションのメカニズム:曖昧性と向き合う (2009)
  • Author(s): 渡辺義和
  • Organizer: Heart-to-Heart SP研究会, 第3回研修会
  • Place of Presentation: 大阪
  • Year and Date: 2009-01-24
• [Presentation] 医療とコミュニケーション : 社会言語学的アプローチ (2008)
  • Author(s): 渡辺義和
  • Organizer: 第15回医療コミュニケーション研究会
  • Place of Presentation: 名古屋
  • Year and Date: 2008-11-30
• [Presentation] How do patient evaluations correspond to doctors' communicative behaviors in Japanese breast cancer consultations? (2007)
  • Author(s): Tomoko Takayama, Yoshikazu C. Watanabe
  • Organizer: 9th World Congress of Psycho-Oncology
  • Place of Presentation: London England
  • Year and Date: 2007-09-17
• [Presentation] Individual and Communal dimensions of Health Literacy:Evidence from Japan. (2007)
  • Author(s): Tomoko Takayama, Xiaoquan Zhao, Gary Kreps.
  • Organizer: 135th Annual Meeting of American Public Health Association
  • Place of Presentation: Washington DC.USA
• [Presentation] :How do patient evaluations correspond to doctors' communicative behaviors in Japanese breast cancer consultations? (2007)
  • Author(s): Tomoko Takayama, Yoshikazu C., Watanabe 9th World
  • Organizer: Congress of Psycho-Oncology
  • Place of Presentation: London England
• [Presentation] The effect of cancer information seeking, information efficacy, and social network on psychological distress. (2007)
  • Author(s): Tomoko Takayama, Xiaoquan Zhao, Gary Kreps.
  • Organizer: HINTS Data Users Conference
  • Place of Presentation: Pasadena, California, USA
• [Presentation] Healthy People's Cancer Information Seeking is Associated with Psychological Distress and General Exposure to Media Health Information. (2007)
  • Author(s): Xiaoquan Zhao, Tomoko Takayama, Xiaomei Cai.
  • Organizer: HINTS Data Users Conference
  • Place of Presentation: Pasadena,California,USA