analysis of decision processes of patients

1994 Fiscal Year Final Research Report Summary

• Project/Area Number: 05807036
• Research Category: Grant-in-Aid for General Scientific Research (C)
• Allocation Type: Single-year Grants
• Research Field: Public health/Health science
• Research Institution: JICHI MEDICAL SCHOOL
• Principal Investigator: IGARASHI Masahiro Jichi Medical School, Dept.of Medicine, Prof., 医学部, 教授 (40049036)
• Co-Investigator(Kenkyū-buntansha): YOSHIMURA Manabu Jichi Medical School, Dept.of Medicine, Assistant, 医学部, 助手 ; TAKAGI Fumie Jichi Medical School, Dept.of Medicine, Assistant, 医学部, 助手 ; OKAYAMA Masanobu Jichi Medical School, Dept.of Medicine, Assistant, 医学部, 助手
• Project Period (FY): 1993 – 1994
• Keywords: decision processes of patients / research methods / consultation / video-records / structured interview / paraverval communication / nonverval communication / practice assessment

Research Abstract

Decision making processes of medical doctors are well analyzed, but decision making processes of patients are not analyzed. Studies of patients decision process are very important from the point of view of self-realization, self-determination informed-consent. The research methods of this field are not established, so our main research is establishment of methods.
We recorded patient and doctor separately during consultation using two videocameras by informed-consent of patient and doctor. The two records are united in one picture plane using video-editor. We interviewed structurely the patients about the thinking process and contents while showing the editored videotape of consultation. The time/point and contents of question are structured. At the change of verbal, semi-verbal and non-verbal communication we interviewd the "why", "what" and "how".
The decision of patients were expressed on semi-verbal and non-verval commnications.