The Current Situation and Theories of Changing Professional-patient Relationship and Patient Autonomy

改变医患关系和患者自主权的现状与理论

• 批准号: 11410042
• 负责人: YAMAZAKI Yoshihiko
• 金额: $ 6.66万
• 依托单位: University of Tokyo
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B).
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-11410042/
• 关键词: patient' autonomy; professional-patient relationship; doctor-patient communication; doctor-patient interaction; dicision-making in medicine; patient participation; narrative therapy; helper-helpee relationhsip

A variety of studies and theories about conversion of practitioner-patient relationship and about patient's independence have been developed as a collaborative research for two years. We summarized the results as a following report.I.Introduction : Structure and classification of researches in "practitioner-patient relationship"II.Mutual effect and communication between Physician and patient :Relationship between outpatients' perceptions of physicians' communication styles and patients' anxiety levels in a Japanese oncology setting/Physician-patient interaction and patient satisfaction in Japanese cancer consultations/The Roter method of interaction process analysisIII.Process of decision-making in medicine and patient's participation :"Informed consent" and practitioner-patient relationship in malpractice suits/Attitudes of obstetrician/pediatrician toward pre-birth diagnosis/The rate of explanation and examination of the pre-birth diagnosis, the decision-making of a pregnant woman/Citizens' assertiveness towards participation during medical consultations/Reconsideration of the concept of "self-determination/the right of self-determination" /Towards the better understanding of preferences for participation in treatment decision-making processesIV.New relationships of practitioner-patient and among practitioners :Narrative therapy : A new form of the nurse-patient relationship./New relationship between people with physical disability aiming at Independent Living and their assistants in Tokyo/Changes in patients' frame of reference on their hospitalization/Patient satisfaction surveys : Problems and recent evolutions/Gene counseling of cancer-social, psychological aspects/Concept and measurement of collaboration between doctor and nurse/Nurses' career orientation and related factors : A study at large general hospitals/V.Review of six related English literatures

关于医患关系的转变和病人的独立性的各种研究和理论已经发展为两年的合作研究。我们将结果总结为以下报告。I.引言：“医患关系“研究的结构和分类II.医生和患者之间的相互影响和沟通：门诊患者对医生沟通方式的看法与日本肿瘤学环境中患者焦虑水平之间的关系/日本癌症咨询中的医生-患者互动和患者满意度/互动过程分析的Roter方法III.医学决策过程和患者参与：“知情同意”与医疗事故诉讼中的医患关系/产科医生/儿科医生对产前诊断的态度/产前诊断的解释和检查率，孕妇的决策/公民对参与医疗咨询的主张/对“自决”概念的重新考虑/四、医患关系和从业人员之间的新关系：叙事疗法：护患关系的新形式。东京以独立生活为目标的身体残疾人与他们的助手之间的新关系/患者住院参考系的变化/患者满意度调查：问题和最新进展/癌症-社会、心理方面的基因咨询/医生和护士之间合作的概念和测量/护士的职业取向和相关因素：大型综合性医院的研究/V.六篇相关英文文献的回顾

项目成果

藤江知郁子、山崎喜比古: "医療過誤訴訟にみる「説明」と医療者-患者関係"保健医療社会学論集. 11(印刷中). (2000)

Tomoko Fujie、Kihiko Yamazaki：“医疗事故诉讼中的医疗提供者与患者关系”，健康与医学社会学杂志 11（印刷中）。

野口裕二: "ナラティヴ・セラピー-病者・看護者関係の新しいかたち"精神科看護. 28・1. 8-12 (2001)

野口雄二：“叙事疗法 - 患者与护理人员关系的新形式” 精神科护理 28・1（2001）。

Watanabe, C., Tamai, M., and Yamazaki, Y.: "Attitudes of obstetrician/pediatrician toward pre-birth diagnosis"Perinatal Medicine. 37(7). 937-941 (2000)

Watanabe, C.、Tamai, M. 和 Yamazaki, Y.：“产科医生/儿科医生对产前诊断的态度”围产期医学。

Takayama,T.,Yamazaki,Y. et al.: "Relationship between outpatients' perceptions of physicians' communication styles and patients' anxiety levels in a Japanese oncology setting"Social Science and Medicine. (2001)

高山，T.，山崎，Y.

Fujie, C., and Yamazaki, Y.: ""Informed consent" and practitioner-patient relationship in malpractice suits"The Annual Review of Japanese Health and Medical Sociology. 11. 34-44 (2000)

Fujie, C. 和 Yamazaki, Y.：“医疗事故诉讼中的“知情同意”和医生与患者的关系”《日本健康与医学社会学年度评论》。