Departmental Bulletin Paper 医療プロフェッショナリズム概念の検討

山本, 武志  ,  河口, 明人

126pp.1 - 18 , 2016-06-30 , 北海道大学大学院教育学研究院
We constructed the concept of “multidisciplinary medical professionalism.” It comprised 90 codes, 21 categories, 7 domains, and 3 areas, and examined 13 products (e.g., document, statement, code, and study) from professional associations of doctors, nurses, and physical therapists. We traced the history of the concepts of professionalism from the 1990s. We identified the extending as well as the new concepts of professionalism: “evidence-based medicine and practice,” “conflict management in collaborative practice,”“hand over,”“dissemination and promotion of safety culture,” and “utilizing mass media and providing information to citizens.” Qualitative changes to the concept of professionalism, for example, the role of patients having changed from passive to active in the decision-making process, were identified. Hence, a transformation in pre-service and in-service training for professions in health-care coinciding with changes to the concept of professionalism is required. We propose introducing interprofessional education as a strategy to nurture medical professionalism.

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