インフォームド・コンセントの立場からみたプライマリ・ケアと心身医学(プライマリーケアと心身医学)(第35回日本心身医学会総会)
スポンサーリンク
概要
- 論文の詳細を見る
The aim of this study was to examine Primary Care and Psychosomatic Medicine from the standpoint of Informed Consent by giving the questionnaire to both medical doctors and patients. Doctors thought that they were satisfied with the information from their patients. Also they did not have trouble to have Informed Consent with their patients. On the contrary, the patients were not so familiar with the term"Informed Consent." Up to 44.0% of the patients thought that the explanation from the doctors was not well understandable or not sufficient. Three reasons were categorized as to why the patients thought explanation could not be understood well or not adequate. (1) Communication problems : 1) There was no explanation or even if there was, it was not enough. 2) Doctors' explanation was not adequate or not patient-oriented, the terms they used were too difficult to understand, and doctors spoke too fast or stammer. (2) Difficulty in understanding the medical or physical examination and treatment plan : 1) Purpose of and reasons for the medical examination were not understandable. 2) Effects and prognosis of the treatment were not clear. 3) Names of the disease, diagnoses, side effects of the medicine were too difficult to understand. (3) Complaints of relationship with the doctors : 1) Personality of the doctors was not reliable because they lost their temper and became displeased when the patients asked questions. 2) Patients thought it was hard to trust the doctors. Up to 44.0% of the patients who answered the questionnaire thought that the explanation was not well understandable and not sufficient. This meant that the doctors should more realize what the patients really want from the doctors. Also they should be more open to the patients to give information and receive questions from their patients. These results show that the patients want not only reliable medical doctors as specialists but also more open and friendly doctors. It is possible to say that compliance and effect of the treatment largely depends on the quality of Informed Consent. That is why Informed Consent should not be a mere method of reporting the result of medical examination and the name of the disease. It should also be a major start of treatment. It should be recognized as a part of primary care.
- 1995-02-01
論文 | ランダム
- 生活情報の定義
- 合成洗剤問題に関連する生活情報の分析
- 超音波による肝静脈および門脈分岐パターンの検討
- 142 気管支食道瘻を発生した肺癌非手術例の検討(肺癌特殊例)(第 16 回日本気管支学会総会)
- P-384 気管支鏡検査で確認された肺癌手術後の気管支瘻症例