著者

勝山 貴美子

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.23, pp.23-33, 2005-10-26 (Released:2018-02-01)

---

In December 2001, the Ministry of Health, Labor and Welfare issued a policy document titled "A Grand Design for the Promotion of Use of Information Technology in Health". The document describes a number of scenarios to be realized over a period of five years involving the provision and use of health services by means of information technology. Goals include the deployment of an electronic health record system to 60% of all hospitals with more than 400 beds.In order to promote such efforts, policies are needed to ensure the security of information and the protection of privacy. A law protecting personal information was passed in 2003 and came into effect in 2005. This paper discusses this law and examines its meaning, its significance, and its potential problems. The increased gathering and use of information in medical care environments does not always lead to more patient-centered care. Satisfaction with the gathering and protection of this information is important to patient outcome and may affect the ability of the physician and other medical staff to elicit patients' concerns, consider patients' psychosocial needs, and involve patients in treatment decision making, all of these being communication techniques that fall under the umbrella of "patient-centered" care.

著者

勝山 貴美子

出版者

日本医学哲学・倫理学会

雑誌

医学哲学 医学倫理 (ISSN:02896427)

巻号頁・発行日

vol.21, pp.176-183, 2003-10-05 (Released:2018-02-01)

---

The term "care" has lately attracted considerable attention in the various fields, such as psychology, education, medical treatment and social welfare. Especially, in the realms of medical treatment and social welfare, concerns arise due to the rapid progress of the aging of society, the change in disease structure and the rapid progress of medical technology. As for care in medical treatment, there is recognition that patients or clients are the center of medical treatment, because the meaning of "care" focuses not on the sickness itself, but on the living person with an illness. It is important for medical staffs to realize the dignity of the patient's personality through their care. There is an interactive relation between patients and nurses, and therefore they have their own individual values, appraisal standards and interests. I think that care is recognized and/or adjusted between them accordingly. When offering nursing, a relation with the family of a patient and nurses is also important. Because 11 hink that a family is an important person for a patient. However, there is not the study how nurses understand a patient's family, and what nurses expect of them.