Informed Consent for Pediatric Cancer Patients in Japan and the USA

日本和美国儿童癌症患者的知情同意书

基本信息

批准号：
13672519
负责人：
SAIKI-CRAIGHILL Shigeko
金额：
$ 2.56万
依托单位：
Tokyo Metropolitan University of Health Sciences
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2004
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-13672519/
关键词：
Childhood Cancer Informed Consent for Children Communicating diagnosis Medical team Truth-telling Comparison between Japan and the US 小児がん医療インフォームドコンセントインフォームド・コンセント

项目摘要

The researcher investigated the discussion and application of informed consent in pediatric healthcare in the USA and Japan over a span of four years. Specifically, the investigators 1)attended and recorded medical consultations physicians had with children and their families in both Japan and the USA, 2)conducted fieldwork in hospitals that had different styles of informed consent for children, and 3)interviewed doctors, nurses, and child life specialists. The resulting data was studied to assess a)the structure and function of the health care team that used informed consent with children, b)the evaluation and categorization the parents used when granting permission to inform the child of the diagnosis, c)the support system for the child in the family and society, and d)the changes that occur when informed consent is provided. Due to the urgent need for reform in Japanese pediatric medicine, this report relies on the analysis and comparison with American data to investigate informed consent.The aim of this research is to implement the discussion concerning informed consent for children. For this reason, the investigators felt it was necessary to make a close investigation of the few facilities in Japan where informed consent is practiced. They hope that the research results will provide the basis for further research and discussion.

研究人员在四年的时间里调查了美国和日本儿科医疗保健中知情同意的讨论和应用。具体来说，调查人员 1）参加并记录了日本和美国医生对儿童及其家人进行的医疗咨询，2）在对儿童有不同形式知情同意的医院进行了实地调查，3）采访了医生、护士和儿童。儿童生活专家。对所得数据进行研究以评估a）使用儿童知情同意的医疗保健团队的结构和功能，b）父母在授予儿童诊断许可时使用的评估和分类，c）支持系统对于家庭和社会中的儿童，以及 d) 提供知情同意后发生的变化。由于日本儿科医学改革的迫切需要，本报告依靠与美国数据的分析比较来探讨知情同意。本研究的目的是落实有关儿童知情同意的讨论。因此，调查人员认为有必要对日本少数实行知情同意的设施进行仔细调查。他们希望研究结果能为进一步的研究和讨论提供基础。