Describing the factors that influence the process of making a shared-agenda in Japanese family physician consultations: a qualitative study

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Describing the factors that influence the process of making a shared-agenda in Japanese family physician consultations: a qualitative study

Persistent ID (NDL): info:ndljp/pid/12313452

Material type: 博士論文

Author: Goto, Michiko

Publisher: 三重大学

Publication date: 2015-09-16

Material Format: Digital

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Name of awarding university/degree: 三重大学,博士(医学)

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Note (General)：: application/pdfBackground: Patients cannot always share all necessary relevant information with doctors during medical consultations. Regardless, in o...

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Material Type: 博士論文
Title: Describing the factors that influence the process of making a shared-agenda in Japanese family physician consultations: a qualitative study
Author/Editor: Goto, Michiko
Author Heading: Goto, Michiko
Publication, Distribution, etc.: 三重大学
Publication Date: 2015-09-16
Publication Date (W3CDTF): 2015-09-16
Degree grantor/type: 三重大学
Date Granted: 2015-09-16
Date Granted (W3CDTF): 2015-09-16
Dissertation Number: 乙医学第987号
Degree Type: 博士(医学)
Conferring No. (Dissertation): 乙医学第987号
Text Language Code: eng
Alias of Author: ゴトウ, ミチコ
後藤, 道子
Subject Heading: Agenda-sharing
Communication
Doctor-patient relationship
Patient’s explanatory model
Taking a medical history
Target Audience: 一般
Note (General): application/pdf
Background: Patients cannot always share all necessary relevant information with doctors during medical consultations. Regardless, in order to ensure the best quality consultation and care, it is imperative that a doctor clearly understands each patient’s agenda.The purpose of this study was to analyze the process of developing a shared-agenda during family physician consultations in Japan.Methods: We interviewed 15 first time patients visiting the outpatient clinic of the Department of Family Medicine in the hospital chosen for the investigation, and the 8 family physicians who examined them. In total we observed 16 consultations. We analyzed both patients’ and doctors’ narratives using a modified grounded theory approach.Results: For patients, we found four main factors that influenced the process of making a shared-agenda: past medical experiences, undisclosed but relevant information, relationship with the family physician, and the patient’s own explanatory model. In addition, we found five factors that influenced the shared agenda making process for family physicians: understanding the patient’s explanatory model, constructing the patient-doctor relationship, physical examination centered around the patient’s explanatory model, discussion-styled explanation, and self-reflection on action.Conclusions: The findings suggest that patient satisfaction would be increased if family physicians are proactive in considering these factors with respect to both the patient’s agenda, and their own.
本文/Department of Education and Research in Family and Community Medicine, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan
9p
DOI: info:doi/10.1186/s12930-015-0023-6
https://doi.org/info:doi/10.1186/s12930-015-0023-6
Persistent ID (NDL): info:ndljp/pid/12313452
https://dl.ndl.go.jp/pid/12313452
Collection: 障害者向け資料
Collection (Materials For Handicapped People:1): テキストデータ
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2022-08-08T06:02:54+09:00
Date Created (W3CDTF): 2021-12-13
Format (IMT): application/pdf
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): http://hdl.handle.net/10076/00020055
https://mie-u.repo.nii.ac.jp/records/14437
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp