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Reconsideration on self-assessment of empathy through measuring quality of consultation and exploring recognition on empathy

Research Project

Project/Area Number 16K08869
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Takahashi Noriyuki  名古屋大学, 医学系研究科, 寄附講座助教 (00758732)

Co-Investigator(Kenkyū-buntansha) 伴 信太郎  愛知医科大学, 医学部, 特命教授 (40218673)
松久 貴晴  名古屋大学, 医学部附属病院, 病院助教 (80782101)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords共感 / CARE Measure / 評価者間信頼性 / 総合診療科専攻医 / 共感の認識構造 / 質的探索 / 共感の認識探索
Outline of Final Research Achievements

In this research, we reconsidered a generally accepted opinion, which is physician’s empathy decreasing with getting clinical experiences. Quantitatively, we analyzed how many patients were required to provide a high level of reliability in the Japanese version of the Consultation and Relational Empathy (CARE) Measure. The result revealed approximately 40 patients were needed. Qualitatively, we aimed to identify how specialty trainees in general practice (GP trainees) perceive empathy. It hasn’t been clear how specialty trainees perceive empathy, although students’ and residents’ empathy do not decrease quantitatively but change qualitatively with getting clinical experience. The result showed that GP trainees improved cognitive empathy based on clinical experiences, and improved emotional empathy by their own patient experiences.

Academic Significance and Societal Importance of the Research Achievements

量的には、患者の視点から医師の共感を評価するCARE Measure日本語版の評価者間信頼性が明らかになり質問紙の実用性が向上した。これは本質問紙を用いた介入研究や、他医療職種での質問紙使用の妥当性評価研究への発展性や、本質問紙を医師の臨床実践や教育に生かす応用可能性を持つ。社会的には、医師の共感に関する患者視点での評価をより実用的に行うことができる意義がある。質的には、専攻医についても共感は単に量的減少するのではなく、新たに獲得され育まれていることが示唆され、定説に一石を投じる学術的意義がある。そして専攻医の共感認識を理解することで専攻医教育や専攻医自身の臨床実践に生しうる社会的意義がある。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report

Research Products

(27 results)

All 2020 2019 2018 2016 Other

All Int'l Joint Research (1 results) Journal Article (4 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (15 results) (of which Int'l Joint Research: 6 results,  Invited: 2 results) Remarks (7 results)

  • [Int'l Joint Research] Usher Institute, University of Edinburg(英国)

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Social accountability across cultures, does the concept translate? An explorative discussion with primary care colleagues in Japan2020

    • Author(s)
      Ramsay Robin、Stanyon Maham、Takahashi Noryiuki
    • Journal Title

      Education for Primary Care

      Volume: 31 Pages: 66-70

    • DOI

      10.1080/14739879.2020.1727780

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] How many patients are required to provide a high level of reliability in the Japanese version of the CARE Measure? A secondary analysis2018

    • Author(s)
      Matsuhisa Takaharu、Takahashi Noriyuki、Aomatsu Muneyoshi、Takahashi Kunihiko、Nishino Jo、Ban Nobutaro、Mercer Stewart W.
    • Journal Title

      BMC Family Practice

      Volume: 19 Pages: 138-138

    • DOI

      10.1186/s12875-018-0826-2

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Listen to the outpatient: qualitative explanatory study on medical students’ recognition of outpatients’ narratives in combined ambulatory clerkship and peer role-play2018

    • Author(s)
      Takahashi Noriyuki、Aomatsu Muneyoshi、Saiki Takuya、Otani Takashi、Ban Nobutaro
    • Journal Title

      BMC Medical Education

      Volume: 18 Pages: 229-229

    • DOI

      10.1186/s12909-018-1336-6

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 日本と異なる研究発表の場が知的刺激に 英国SAPC年次集会2018参加報告2018

    • Author(s)
      高橋徳幸
    • Journal Title

      週刊医学界新聞

      Volume: 3287 Pages: 4-4

    • Related Report
      2018 Research-status Report
    • Open Access
  • [Presentation] GP trainees’ conceptual structure of empathy: a qualitative study2019

    • Author(s)
      Akane Imaki, Noriyuki Takahashi, Moeka Toyama, Muneyoshi Aomatsu, Mina Suematsu, Kentaro Okazaki, Nobutaro Ban, Masafumi Kuzuya
    • Organizer
      Society for Academic Primary Care Annual Scientific Meeting 2019 - Exeter
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 総合診療科専攻医における共感の認識構造:質的探索的研究2019

    • Author(s)
      今来茜 , 高橋徳幸 , 當山萌香 , 青松棟吉 , 末松三奈 , 岡崎研太郎 , 伴信太郎 , 葛谷雅文
    • Organizer
      第10回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] GP trainees’ conceptual structure of empathy: a qualitative study.2019

    • Author(s)
      Akane Imaki, Noriyuki Takahashi, Moeka Toyama, Muneyoshi Aomatsu, Mina Suematsu, Kentaro Okazaki, Nobutaro Ban, Masafumi Kuzuya
    • Organizer
      48th Annual Scientific Meeting of the Society for Academic Primary Care 2019
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 総合診療科専攻医における共感の認識構造:質的探索的研究.2019

    • Author(s)
      今来茜、高橋徳幸、當山萌香、青松棟吉、末松三奈、岡崎研太郎、伴信太郎、葛谷雅文
    • Organizer
      第10回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 教育講演(医師向け)1「質的研究で「研究」ポートフォリオを作成する」:質的研究をポートフォリオに「落とし込む」際の注意点.2019

    • Author(s)
      高橋徳幸
    • Organizer
      第10回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Senior Residents’ Conceptual Structure of Empathy: A Qualitative Study.2018

    • Author(s)
      Moeka Toyama, Noriyuki Takahashi, Aomatsu Muneyoshi, Mina Suematsu, Kentaro Okazaki, Nobutaro Ban, Masafumi Kuzuya
    • Organizer
      47th Annual Scientific Meeting of the Society for Academic Primary Care 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Listening to the patient: a qualitative exploratory study on peer role-play using outpatients' illness narratives.2018

    • Author(s)
      Noriyuki Takahashi, Muneyoshi Aomatsu, Takuya Saiki, Takashi Otani, Nobutaro Ban
    • Organizer
      47th Annual Scientific Meeting of the Society for Academic Primary Care 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] How many patients are required to provide a high level of reliability in the Japanese version of the CARE Measure?2018

    • Author(s)
      Takaharu Matsuhisa, Noriyuki Takahashi, Muneyoshi Aomatsu, Kunihiko Takahashi, Jo Nishino, Nobutaro Ban, Stewert W Mercer
    • Organizer
      47th Annual Scientific Meeting of the Society for Academic Primary Care 2018
    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 日本語版the Consultation and Relational Empathy(CARE) Measureの評価者間信頼性の検討.2018

    • Author(s)
      松久貴晴,髙橋徳幸,青松棟吉,髙橋邦彦,西野穣,伴信太郎, Stewert W Mercer.
    • Organizer
      第9回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 外来患者の病の語りを用いた医療面接ピア・ロールプレイ実習に関する質的探索的研究.2018

    • Author(s)
      高橋徳幸, 青松棟吉, 西城卓也, 大谷尚, 伴信太郎
    • Organizer
      第50回日本医学教育学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 総合診療科専攻医の共感の認識構造:質的研究.2018

    • Author(s)
      當山萌香,高橋徳幸,青松棟吉, 末松三奈,岡崎研太郎,伴信太郎, 葛谷雅文
    • Organizer
      第50回日本医学教育学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 外来実習と外来受け持ち患者をピア・ロールプレイで演じる融合実習を通して浮き彫りになった、外来患者の語りについての医学生の認識:質的探索的研究2018

    • Author(s)
      高橋徳幸
    • Organizer
      第35回医療コミュニケーション研究会.
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] Senior Residents’ Conceptual Structure of Empathy: A Qualitative Study2018

    • Author(s)
      Moeka Toyama, Noriyuki Takahashi, Aomatsu Muneyoshi, Mina Suematsu, Kentaro Okazaki, Nobutaro Ban, Masafumi Kuzuya
    • Organizer
      47th Annual Scientific Meeting of the Society for Academic Primary Care 2018
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 日本語版the Consultation and Relational Empathy(CARE) Measureの評価者間信頼性の検討2018

    • Author(s)
      松久貴晴, 髙橋徳幸, 青松棟吉, 髙橋邦彦, 西野穣, 伴信太郎, Stewert W Mercer
    • Organizer
      第9回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2017 Research-status Report
  • [Presentation] 外来医療面接実習における新しい試み-共感の評価尺度CARE measureによる学生の共感の促進2016

    • Author(s)
      高橋徳幸、青松棟吉、伴信太郎
    • Organizer
      第48回日本医学教育学会大会
    • Place of Presentation
      大阪医科大学(大阪府高槻市)
    • Year and Date
      2016-07-30
    • Related Report
      2016 Research-status Report
  • [Remarks] 日本語版CARE Measure質問紙 : 患者による医師の評価表

    • URL

      http://hdl.handle.net/2237/00028334

    • Related Report
      2019 Annual Research Report
  • [Remarks] CARE Measure日本語版

    • URL

      https://caremeasure.meidai-soushin.net

    • Related Report
      2019 Annual Research Report
  • [Remarks] CARE Measure日本語版サイト

    • URL

      https://caremeasure.meidai-soushin.net

    • Related Report
      2018 Research-status Report
  • [Remarks] 日本語版CARE Measure質問紙:患者による医師の評価表

    • URL

      http://hdl.handle.net/2237/00028334

    • Related Report
      2018 Research-status Report
  • [Remarks] 名古屋大学医学部附属病院総合診療科ホームページ:大学院

    • URL

      https://www.med.nagoya-u.ac.jp/general/research/

    • Related Report
      2018 Research-status Report
  • [Remarks] 名古屋大学医学部附属病院総合診療科ホームページ:後期研修修了ー大学院進学(松久貴晴先生)

    • URL

      https://www.med.nagoya-u.ac.jp/general/research/matsuhisa/

    • Related Report
      2018 Research-status Report
  • [Remarks] 高橋徳幸-researcher map

    • URL

      https://researchmap.jp/noriyukit_7/

    • Related Report
      2018 Research-status Report

URL: 

Published: 2016-04-21   Modified: 2021-02-19  

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