| Project/Area Number |
26460623
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | 独立行政法人国立病院機構(東京医療センター臨床研究センター) |
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Principal Investigator |
Seiji Bito 独立行政法人国立病院機構(東京医療センター臨床研究センター), その他部局等, 室長 (60373437)
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| Co-Investigator(Kenkyū-buntansha) |
浅井 篤 東北大学, 医学系研究科, 教授 (80283612)
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| Co-Investigator(Renkei-kenkyūsha) |
IIOKA Tomomi 国立病院機構東京医療センター, 臨床研究センター 臨床疫学研究室, 研究員 (80585852)
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| Project Period (FY) |
2014-04-01 – 2018-03-31
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| Project Status |
Completed (Fiscal Year 2017)
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| Budget Amount *help |
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
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| Keywords | インフォームド・コンセント / 意思決定支援ツール / Shared Decision Making / シェアード・ディシジョン・メイキング / 後悔 / インフォームドコンセント / 医療コミュニケーション / 介入研究 / 患者-医療者関係 / 臨床倫理 / 意思決定支援 / 患者‐医療者関係 |
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| Outline of Final Research Achievements |
In this research project, we developed a decision-making support tool as a "document template" aiming to promote common understanding among patients - medical personnel in making medical decisions and verify the effectiveness of them went. We reviewed the existing literature as the first stage and developed a working template consisting of a number of stakeholders as the second stage. The documented templates were attached to the electronic medical record.
In order to verify the effectiveness of the developed template, we conducted a multicenter collaborative preliminary comparison study with 8 facilities. Decision Conflict Scale Japanese version (DCS), Decision Regret Scale Japanese version (DRS) as the endpoint, deviation degree between expert's preference towards decision making and patient's preference was adopted. Eventually 87 patients in the nonintervention group and 88 patients in the intervention group were enrolled.
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