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
- 39 大区画水田における省力雑草防除技術 : 第1報 CH-907-1kg粒剤の額縁散布と除草効果
- 大区画水田における省力雑草防除技術 : 第1報 CH-907-1Kg粒剤の額縁散布と除草効果
- Effect of Braking Speeds on the Tribological Properties of Carbon/Carbon Composites
- 海上保安事件の研究(第54回)シー・シェパードの構成員であるピーター・ジェームス・ベスーンが,日本の調査捕鯨船団の監視船「第二昭南丸」上にある船員に目がけて発射装置により酪酸を投げつけ,さらに,後日,防護用の網を所持のナイフで破り,同船に侵入し,同船の船長により船内に拘束されて,同船が東京帰港の際に海上保安官に逮捕され,威力業務妨害,傷害,器物損壊,艦船侵入,銃砲刀剣類所持等取締法違反で有罪とされた事例(平成22年7月7日東京地裁判決・決定),および,この事件に関連しての海賊の意義とその処罰について(前編
- 動脈塞栓術が有効であった胃十二指腸仮性動脈瘤十二指腸内穿破の1例