{"_buckets": {"deposit": "9ebe75ff-80cb-4eb7-addf-9d1ec30526fc"}, "_deposit": {"created_by": 9, "id": "2171", "owners": [9], "pid": {"revision_id": 0, "type": "depid", "value": "2171"}, "status": "published"}, "_oai": {"id": "oai:auhw.repo.nii.ac.jp:00002171", "sets": ["289"]}, "author_link": ["11785", "11786", "11784", "11783", "11787", "11782"], "item_10001_biblio_info_7": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2021-09-17", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "19", "bibliographicPageStart": "10", "bibliographicVolumeNumber": "3", "bibliographic_titles": [{"bibliographic_title": "青森保健医療福祉研究"}, {"bibliographic_title": "Aomori Journal of Health and Welfare", "bibliographic_titleLang": "en"}]}]}, "item_10001_description_5": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "〔目的〕本研究は，外来がん薬物療法を受ける患者を支援するための外来チーム医療の実際と課題を明らかにすることを目的とした。\n〔方法〕がん診療連携拠点病院5 施設の専門職者33名を対象に，半構成的面接調査を実施し，質的帰納的分析を行った。\n〔結果〕外来チーム医療の実際として，病院内の限られた職種間でのみ連携している，地域医療との連携が限られている，外来治療に移行後の患者の目標を多職種で共有していない，がん患者を支援するための専門職者の意見に差がある，各職種の相互理解に基づく対等な関係性が築けてない，外来に必要な専門職者の人員配置が不足している，という6 つが明らかとなった。また，課題は，病院内での多職種による継続的な支援の提供，地域医療との連携による支援の継続，患者と多職種との情報共有化の整備，患者の目標の多職種による共有化の推進，各々の専門性を高め合う意識の向上，リーダーシップの役割発揮，外来における専門職者の機能的な人員配置の7 つであった。\n〔結論〕外来がん薬物療法を受ける患者を支援するための外来チーム医療を推進していくためには，病院内から地域医療への多職種による継続的な支援の提供，患者との情報共有に基づく多職種での目標共有，専門性を高め合いチームとして支援する意識の向上，患者支援に専従できる専門職者の人員配置について，効果的なシステムを構築していく必要があることが示唆された。", "subitem_description_type": "Abstract"}, {"subitem_description": "[Objective] This study aims to clarify the reality and challenges faced by medical teams that support cancer outpatients taking medication.\n[Methods] A semi-structured interview survey was conducted with 33 professionals working at five designated cancer care hospitals. The results were qualitatively and inductively analyzed.\n[Results] Six situations were identified as those facing medical teams that support cancer outpatients: team members who work only in certain occupations collaborate at each hospital; cooperation with local medical services is limited; outpatient treatment goals are not shared among personnel of multiple job types; professionals do not share similar views about what support to provide to cancer patients; team members fail to develop fifty-fifty relationships, and they lack an understanding of other team members\u0027 jobs; and teams have too few professionals for proper outpatient treatment. The challenges consist of needs in seven categories: continued support for outpatients provided by team members in multiple types of jobs; continued support for outpatients provided through cooperation with local medical services; systems ensuring that outpatients and team members with multiple kinds of ccupations share information; the enhanced sharing of outpatient treatment goals among team members with different types of jobs; increased awareness of the need for team members to help one another improve their expertise; the application of leadership skills; and the efficient assignment of professionals to outpatient departments.\n[Conclusions] These results suggest the need for effective systems that promote team medical care to support cancer outpatients on medication. These should be useful for the following: enabling continual support for local medical services provided by hospital team members of diverse jobs; sharing outpatient treatment goals among team members of various jobs based on information-sharing with outpatients; increasing the awareness of the support that the medical team needs to provide, while addressing improvements in expertise; and allocating professionals who support outpatients full-time.", "subitem_description_type": "Abstract"}]}, "item_10001_identifier_registration": {"attribute_name": "ID登録", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.24552/00002162", "subitem_identifier_reg_type": "JaLC"}]}, "item_10001_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "青森県立保健大学"}]}, "item_10001_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "2435-6794", "subitem_source_identifier_type": "ISSN"}]}, "item_10001_version_type_20": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "本間, ともみ"}, {"creatorName": "ホンマ, トモミ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "11782", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "伝法谷, 明子"}, {"creatorName": "デンポウヤ, アキコ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "11783", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "鳴井, ひろみ"}, {"creatorName": "ナルイ, ヒロミ", "creatorNameLang": "ja-Kana"}], "nameIdentifiers": [{"nameIdentifier": "11784", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Honma, Tomomi", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "11785", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Denpoya, Akiko", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "11786", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Narui, Hiromi", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "11787", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2021-06-16"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "ajhw_00002162.pdf", "filesize": [{"value": "440.0 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 440000.0, "url": {"label": "ajhw_00002162", "url": "https://auhw.repo.nii.ac.jp/record/2171/files/ajhw_00002162.pdf"}, "version_id": "be002ea7-0c5d-4d85-a34a-5de7cf946cbf"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "外来がん薬物療法", "subitem_subject_scheme": "Other"}, {"subitem_subject": "がん患者", "subitem_subject_scheme": "Other"}, {"subitem_subject": "チーム医療", "subitem_subject_scheme": "Other"}, {"subitem_subject": "anticancer medication therapy", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "outpatient care", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "cancer patient", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "team medical care", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "外来がん薬物療法を受ける患者を支援するための外来チーム医療 ―外来チーム医療の実際と課題―", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "外来がん薬物療法を受ける患者を支援するための外来チーム医療 ―外来チーム医療の実際と課題―"}, {"subitem_title": "Team medical care for cancer outpatients on anticancer medication therapy: Reality and challenges", "subitem_title_language": "en"}]}, "item_type_id": "10001", "owner": "9", "path": ["289"], "permalink_uri": "https://doi.org/10.24552/00002162", "pubdate": {"attribute_name": "公開日", "attribute_value": "2021-06-16"}, "publish_date": "2021-06-16", "publish_status": "0", "recid": "2171", "relation": {}, "relation_version_is_last": true, "title": ["外来がん薬物療法を受ける患者を支援するための外来チーム医療 ―外来チーム医療の実際と課題―"], "weko_shared_id": -1}