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

关于医患关系转化和患者独立性的各种研究和理论已作为一项合作研究发展了两年。现将研究结果总结如下：1 .导论：“医患关系”研究的结构与分类。医患相互作用与沟通：日本肿瘤门诊患者对医生沟通方式感知与患者焦虑水平的关系/日本癌症会诊中医患互动与患者满意度的关系/互动过程分析的Roter方法[j]。医疗决策过程与患者参与：医疗事故诉讼中的“知情同意”与医患关系/产科/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自信/重新考虑“自决/自决权”的概念/更好地了解参与治疗决策过程的偏好4。新的医生-病人和医生之间的关系：叙事治疗：一种新的形式的护士-病人关系。/东京以独立生活为目标的肢体残疾者与其助手之间的新关系/患者住院参照系的变化/患者满意度调查：问题与最新进展/癌症的基因咨询：社会、心理方面/医护协作的概念与测量/护士职业取向及其相关因素：大型综合医院的研究/回顾六篇相关的英语文献

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