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

我们在关西三家医院就EMR对医疗专业人员的影响进行了问卷调查和访谈调查，同时在不同的学术会议上发表了几篇论文，包括以下会议：T.Kudo和H.Yamanaka，关于EMR对临床职业的影响，关西社会学协会第57次会议(27.2006，Kanazawa)Y.Takeuchi，临床实践和信息技术：护士和EMR，第57届关西社会学协会会议(5月27日)。Shimmitsu，医院护理自助团体的重要性，第26届日本护理学会会议，2006年12月2日，Kobe.T.Yamamoto等人，关于工作人员使用EMR的问卷调查，第26届医学信息学会议(2006年11月26日)H.Yamanaka，方法标准化：动机，模式和机构，研讨会医学中的客观性机构：非正式和正式的监管模式“，McGill大学，2007年4月19-22日。我们还录制了一些对医院医务人员的访谈，并将其与我们的研究主题一起编辑。我们已经完成了我们的报告《临床文化的未来：医学及其临床文化的标准化》，其中包括以下文章：1.叙述中的医学和效率(桥本)2.EMR：DiFusion历史、研究综述和社会学意义(山中)3.EMR和临床专业人员之间的沟通(武田)5.EMR与计算机药物沟通(工藤)6.通过EMR实施改变护理工作(武口)7.EMR和护理记录：期望和挑战(Shimmitsu)

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)