医療機関における「枠組みとしてのチーム」の形成とその意義

概要

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In social work studies, various concepts of team have been suggested. One of the most important aspects of team is that team members participate in assessment of patients and decide more adequate care planning for patients. However, in Japanese hospitals, it is normally doctors who assess patients' needs and prescribe treatments to be done by other professionals. This paper suggests the concept "team as a framework", in which all professional members belonging to independent sections, participate in assessment process and have chance to exchange free opinions. "Team as framework" is important in two ways. One, team members are encouraged to discuss all the patients concerned. Two, team members are expected to change their roles according to the needs of patients. The analysis of a large hospital of a high specialization status seems to suggest that the "weekly going round" of all patients' beds and "weekly conference" in wards and sections contribute to form the concept "team as framework", where two points are identified as important factors. One, "weekly round" and "weekly conference" clarify the patients as a team's concern, giving chances of discussing their overall conditions as a group. Two, they divide the members and non-members of a team, which work team as a "small group".
一般社団法人日本社会福祉学会の論文
1999-01-20