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2000 Fiscal Year Final Research Report Summary

Current Problems of Health Services in Japan

Research Project

Project/Area Number 10410047
Research Category

Grant-in-Aid for Scientific Research (B).

Allocation TypeSingle-year Grants
Section一般
Research Field 社会学(含社会福祉関係)
Research InstitutionHiroshima University

Principal Investigator

WATANABE Mitsuru  Hiroshima University, Faculty of Law, Professor, 法学部, 教授 (00080979)

Co-Investigator(Kenkyū-buntansha) OTANI Noriko  Yamaguchi University, Faculty of Humanistic Studies, Professor, 人文学部, 教授 (60117083)
OTANI Tomohiro  Hiroshima University, Faculty of Law, Professor, 法学部, 教授 (60106789)
NAKAMURA Shigenobu  Hiroshima University, Faculty of Medicine, Professor, 医学部, 教授 (30026843)
HIRAOKA Keiko  Kure University, Faculty of Nursing, Associate Professor, 看護学部, 助教授 (30260673)
EGASHIRA Daizo  Hiroshima University, Faculty of Law, Associate Professor, 法学部, 助教授 (90193987)
Project Period (FY) 1998 – 2000
Keywordshi-tech medicine / terminal care / doctor-patient relationship / roll of nurse / training of medical profession / patients' organisation / malpractice / informed consent
Research Abstract

Target of research : Recentry doctor and patient relationship has been strongly changing. Principle of it has changed from paternalism to informed consent. We set out a question what effects of these changes are given to the idea of each doctor or patient.
Second hypothesis is that changes of social system, such as National Health Insurance, or medical professionals' performance acts, may give any change to ideas of them concerning to informed consent practice.
Method of Research : learning from precedent research, hearing from persons concerned health services, survey of doctors and patients' opinion, the last one is the most important part of this research.
Main Result of Research : We found the existance of large idea difference between doctors and patients. We tried to analyze and explain how that difference arises and what mecanism causes that difference. Not only patients but also doctors are now recognizing the importance of informed consent, and they began to disclose the medical records voluntarily. But they are against to the disclosure bill, we explain why many Japanese doctors do not yet approve the legal compulsion of disclosure.

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Published: 2002-03-26  

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