학술논문

Family Involvement by Japanese Family Physicians in Their Clinics: The Second Report of a Focus Group Discussion / 日本の診療所の家庭医はどのような家族介入を行っているのか?~Focus Group Discussionによる調査(第2報)
Document Type
Journal Article
Source
日本プライマリ・ケア連合学会誌 / An Official Journal of the Japan Primary Care Association. 2019, 42(1):40
Subject
Family
Focus Group Discussion
clinic
family physician
involvement/intervention
フォーカスグループディスカッション
介入
家庭医
家族
診療所
Language
Japanese
ISSN
2185-2928
2187-2791
Abstract
Results: Eight physicians participated at first, but five of them dropped out because of job commitments or death. The involvement by Japanese family physicians consisted of three stages. The first stage was "the approach of repeated hypothesis testing and normalizing" as safety interventions. The second stage was "reevaluation of the family" utilizing family genograms, family conferences, and others. After exhausting all other efforts, they engaged in "accepting the one who comes to them" in collaboration with the patient and families. The outcomes included awareness of patients, their smiles due to feeling accepted, and their expressed emotions. They did not explicitly boast that they were able to engage with family members. In addition, they also needed case studies of instances of "failure."