The Future of Clinical Cultures: Standardization of Medicine and its Clinical Cultures

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We have conducted questionaire and interview surveys about the influence of EMR on medical professionals at three hospitals in Kansai, while presenting several papers at different academic conferences including the following sessions.T.Kudo ＆ H.Yamanaka, On the influence of EMR on clinical professions,57^<th> Conference of Kansai Sociological Association (May 27.2006,Kanazawa)Y.Takeuchi, Clinical practice and information technology : Nurses and EMR,57<th> Conference of Kansai Sociological Association (May 27. 2006,Kanazawa)S.Shimmitsu, Significance of Self-help group for hospital nursing,26th conference of Japan Academy of Nursing Science, Dec.2.2006,Kobe.T.Yamamoto et al., Questionaire Survey on the use of EMR among staff workers,26th Conference of medical informatics (Nov.26.2006)H.Yamanaka, Standardization of Method : Motivations, Modalities and Agencies, Workshop The institutions of objectivity in medicine : Informal and formal modalities of regulation", McGill University, April 19-22,2007.We also videotaped some interviews with medical stuffs at the hospitals and edited them along with the subject of our research. We have finished our report "The future of clinical cultures : Standardization of medicine and its clinical cultrues" which include the following articles.1.Medicine and Efficiency in the narratives (Hashimoto)2.EMR : difusion history, research review and sociological implications (Yamanaka)3.EMR and clinical professionals (Yamanaka)4.Communication among the professionals (Takeda)5.Function and features of EMR as compared with Computer Medicated Communication (Kudo)6.Transformation of Nursing Work through EMR implementation (Takeuchi)7.EMR and Nursing Records : Expectations and Challenges (Shimmitsu)