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Study on changes in patients' needs to understand treatment plan and its risks according to diagnosis phase

Research Project

Project/Area Number 26460610
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionNara Medical University

Principal Investigator

Okamoto Sawako  奈良県立医科大学, 医学部, 学内講師 (20721385)

Co-Investigator(Kenkyū-buntansha) 今村 知明  奈良県立医科大学, 医学部, 教授 (80359603)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywordsニーズの変容 / リスク理解 / 説明のタイミング / 医療リスク / 患者の能動的関わり / 受療行動 / 医療決断 / 患者の納得 / 患者納得
Outline of Final Research Achievements

This study showed that there was no difference in patients' needs from their doctors according to the treatment phases. At diagnosis, they feel anxiety strongly, and doctors need to address this anxiety before explaining the treatment plan. Patients desired more proactive involvement with their doctor such as having time with their doctor to discuss as needed, instead of having a long-winded explanation from their doctor. Cancer patients showed more support-seeking attitudes than diabetic and rheumatoid arthritis patients who tended not to ask for help. Most patients seemed to easily comprehend their doctor’s explanations about treatment and risks, but a sizable minority were unable to visualize the disease progression. However, they were unable to speak out about what they did not understand. At this stage, the patients required supplementary explanation from other medical staff.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (8 results)

All 2017 2016 2015

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (7 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] 診断後から治療決断までの段階による糖尿病患者が求める支援の変容2017

    • Author(s)
      岡本左和子
    • Journal Title

      糖尿病医療学学会誌

      Volume: 3 Pages: 178-179

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Presentation] 治療段階に伴う糖尿病患者のニーズの変化と医療者の支援2016

    • Author(s)
      岡本左和子、濱田美来、尾花尚弥、野田達也、今村知明
    • Organizer
      第75回日本公衆衛生学会
    • Place of Presentation
      大阪グランフロント、大阪市
    • Year and Date
      2016-10-26
    • Related Report
      2016 Annual Research Report
  • [Presentation] 診断後から治療決断までの段階による糖尿病患者が求める支援の変容2016

    • Author(s)
      岡本左和子、濱田美来、尾花尚弥、野田達也、今村知明
    • Organizer
      第3回糖尿病医療学学会
    • Place of Presentation
      京都大学、京都市
    • Year and Date
      2016-10-08
    • Related Report
      2016 Annual Research Report
  • [Presentation] Changes in DM-patients' need for support from medical providers according to diagnosis phase.2016

    • Author(s)
      Sawako Okamoto, Miki Hamada, Naoya Obana, Tatsuya Noda, & Tomoaki Imamura
    • Organizer
      All Together Better health Conference VIII
    • Place of Presentation
      Oxford University, United Kingdom
    • Year and Date
      2016-09-06
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Changes in DM-patient's need for support from medical providers according to diagnosis phase2016

    • Author(s)
      Sawako Okamoto, Miki Hamada, Naoya Obana, Tatsuya Noda, and Tomoaki Imamura
    • Organizer
      The 8th International Conference on Interprofessional Practice and Education~All Together Better Health
    • Place of Presentation
      Oxford, UK
    • Year and Date
      2016-09-06
    • Related Report
      2015 Research-status Report
  • [Presentation] 岡本左和子、野田達也、濱田美来、尾花尚哉、今村知明2015

    • Author(s)
      治療に伴うリスクの受容と決断のための患者のニーズと医師からの支援
    • Organizer
      第74回日本公衆衛生学会
    • Place of Presentation
      長崎新聞文化ホール
    • Year and Date
      2015-11-04
    • Related Report
      2015 Research-status Report
  • [Presentation] Patient needs and doctr support in in patient's accepting treatment risks2015

    • Author(s)
      Sawako Okamoto, Miki Hamada, Naoya Obana, Tatsuya Noda, and Tomoaki Imamura
    • Organizer
      International Conference on Communication in Healthcare
    • Place of Presentation
      New Orleans
    • Year and Date
      2015-10-25
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] がん患者の治療全後の状況の変容に伴った支援に関する研究2015

    • Author(s)
      岡本左和子、尾花尚哉、濱田美来、今村知明
    • Organizer
      第7回日本ヘルスコミュニケーション学会
    • Place of Presentation
      西南学院大学西南コミュニティーセンター
    • Year and Date
      2015-09-05
    • Related Report
      2015 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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