{"created":"2023-06-19T09:22:53.909946+00:00","id":2171,"links":{},"metadata":{"_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":["279:289"]},"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' 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","filename":"ajhw_00002162.pdf","filesize":[{"value":"440.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","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"],"pubdate":{"attribute_name":"公開日","attribute_value":"2021-06-16"},"publish_date":"2021-06-16","publish_status":"0","recid":"2171","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_creator_id":"9","weko_shared_id":-1},"updated":"2023-08-02T01:55:51.028942+00:00"}