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Establishment of education and training method of ethics consultation based on the current state of hospital ethics committees in Japan

Research Project

Project/Area Number 24610003
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Bioethics
Research InstitutionKyoto University

Principal Investigator

DOWA Yuri  京都大学, 医学(系)研究科(研究院), 医員 (60625200)

Co-Investigator(Kenkyū-buntansha) TAKIMOTO Yoshiyuki  東京大学, 医学(系)研究科 (00396699)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,590,000 (Direct Cost: ¥4,300,000、Indirect Cost: ¥1,290,000)
Fiscal Year 2014: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Keywords臨床倫理コンサルテーション / 病院倫理委員会 / 意思決定支援 / autonomy / 告知 / 臨床倫理 / 全国調査 / 事例検討 / 医療倫理 / 患者相談
Outline of Final Research Achievements

We carried out a questionnaire, interviews and a content analysis to establish education and training method of hospital ethics committee (HEC) in Japan. The questionnaire survey was carried out for the 2433 hospitals certified by Japan Council for Quality Health Care. We also interviewed eight people of six hospitals who had much ethics consultation (EC) experience. Furthermore, a content analysis about 32 oncological EC records was carried out at University of Tokyo Hospital patient relations and clinical ethics consultation center. As the result, the barriers to promote HEC were popularity among hospital staff, awareness of ethical issue, and equally relationship. Further most essential things to do EC were decision-making, notification and relatives.
To educate and train to do EC, case studies focused on autonomy and role playing method were most effective. We also found the secretariat was important to conduct HEC.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (14 results)

All 2015 2014 2013

All Journal Article (8 results) Presentation (6 results)

  • [Journal Article] 心身医学で知っておきたい臨床論理の基礎と実践 臨床倫理の基礎:臨床倫理・倫理的問題とは2014

    • Author(s)
      瀧本禎之
    • Journal Title

      心身医学

      Volume: 54 Pages: 86-88

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
  • [Journal Article] 心身医学で知っておきたい臨床倫理の基礎と実践(第2回) 臨床倫理の実践 医療倫理の基本四原則2014

    • Author(s)
      瀧本禎之
    • Journal Title

      心身医学

      Volume: 54 Pages: 371-372

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 心身医学で知っておきたい臨床倫理の基礎と実践(第3回) 臨床倫理の実践 手続き的正義2014

    • Author(s)
      瀧本禎之
    • Journal Title

      心身医学

      Volume: 54 Pages: 703-704

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 【臨床倫理・コンプライアンスとPatient First】 生命倫理を臨床現場に導入するには何が必要か?何が問題か?2014

    • Author(s)
      瀧本禎之
    • Journal Title

      消化器の臨床

      Volume: 77 Pages: 201-204

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 心身医学で知っておきたい臨床倫理の基礎と実践(第4回) 臨床倫理の実践 ケースを検討する2014

    • Author(s)
      瀧本禎之
    • Journal Title

      心身医学

      Volume: 54 Pages: 945-947

    • Related Report
      2014 Annual Research Report
  • [Journal Article] エシックスの知恵袋(第1回) その患者さんの意向、真に受けちゃってもいいのかな?2014

    • Author(s)
      瀧本禎之、金井良晃, 海津未希子
    • Journal Title

      緩和ケア

      Volume: 24 Pages: 482-485

    • NAID

      40020269286

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 心身医学で知っておきたい臨床倫理の基礎と実践(第5回) 臨床倫理の実践のために 原則論で倫理的ジレンマをとらえる2014

    • Author(s)
      瀧本禎之
    • Journal Title

      心身医学

      Volume: 54 Pages: 1124-1126

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 患者・家族へのがん告知をどう行うか―医療倫理学の立場から2014

    • Author(s)
      中澤栄輔、瀧本禎之
    • Journal Title

      消化器の臨床

      Volume: 17 Pages: 210-213

    • Related Report
      2014 Annual Research Report
  • [Presentation] The trend and the features of clinical ethics consultation in Japan2015

    • Author(s)
      Shiho Urakawa, Yoshiyuki Takimoto
    • Organizer
      International Conference on Clinical Ethics and Consultation 2015
    • Place of Presentation
      New York, USA
    • Year and Date
      2015-05-20 – 2015-05-22
    • Related Report
      2014 Annual Research Report
  • [Presentation] 全国の病院機能評価機構認証病院にたいする臨床倫理に関する質問紙調査2013

    • Author(s)
      道和百合
    • Organizer
      日本生命倫理学会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 内視鏡診療と医療倫理 診療現場における必要なインフォームド・コンセントの確立と医療倫理2013

    • Author(s)
      瀧本禎之
    • Organizer
      第86回日本消化器内視鏡学会総会
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
  • [Presentation] がん患者の意思決定支援2013

    • Author(s)
      瀧本禎之
    • Organizer
      第26回サイコオンコロジー学会
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
  • [Presentation] 本邦における病院患者相談窓口の設置実態と担当者が感じる葛藤2013

    • Author(s)
      吉江悟、瀧本禎之、榊原章人
    • Organizer
      第51回病院管理学会
    • Place of Presentation
      京都
    • Related Report
      2013 Research-status Report
  • [Presentation] 摂食障害の臨床上の倫理的問題2013

    • Author(s)
      瀧本禎之
    • Organizer
      第17回日本摂食障害学会学術集会
    • Place of Presentation
      兵庫
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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