A Study of Facilitating of Collaboration between Patients and Occupational Therapist

为了进一步促进日本医疗保健系统对知情同意的需求，有必要引入客户与职业治疗师或其他医疗保健专业人员之间合作的概念。然而，如果专业人员熟悉了知情同意或合作的概念，就很难在实践中实现它们。芝加哥伊利诺伊大学的gary Kielhofner博士开发的职业自我评估（OSA）将有助于解决这个问题。这个检查表类型的评估显示了29个陈述，这些陈述反映了治疗师对自我和他/她的病人环境的看法。完成评估后，来访者和治疗师将讨论来访者表现出的问题。因此，合作从起点开始，直到治疗结束。在这三年中，我们首先将该评估翻译成日语，然后举办了关于知情同意、协作和使用OSA的教学概念的研讨会，要求参与者收集应用协作和/或使用OSA的案例研究。十多位训练有素的职业治疗师收集数据并讨论了使用OSA的效果。使用OSA使治疗师的合作视角更加清晰。为提高慢性残疾人的生活质量而建立的职业治疗将进一步有助于提高日本残疾人的生活质量。

In order for further facilitating of recent increasing demand for informed consent in health care system in Japan, it is necessary to introduce the concept of collaboration between clients and occupational therapists or other health care professions. However, if the professionals became to familiar the concepts of informed consent or collaboration, it is difficult to accomplish them in their practices. Occupational Self Assessment (OSA) developed by Dr.Gary Kielhofner of the University of Illinois at Chicago, will help to solve this problem. This checklist type assessment show 29 statements which reflect the viewpoint of the therapist concerning with self and his/her environment of the patient. After completing this assessment, client and therapist will discuss the problems client showed. Thus, the collaboration start from the starting point through the end of therapy.For this three years, we first translated this assessment into Japanese, then had workshop of teaching concepts of informed consent and collaboration and use of OSA, asked the participators to gather case studies applied collaboration and/or use OSA.More than ten trained occupational therapist collect data and discussed the effects of using OSA.Using OSA make more clear the perspective of collaboration for the therapists. Occupational therapy that established for increasing the quality of life of the chronic disabled, will contribute further for improving quality of life of the disabled in Japan.