JAIST Repository: クリニカルパスを用いるチーム医療のナレッジマネジメント ― 宮崎大学医学部附属病院におけるアクションリサーチ ―
3
0
0
全文
(2) Knowledge Management of Healthcare Team with Clinical-Pathways －Action Research in Miyazaki University Hospital－ Yamazaki Tomoyoshi School of Knowledge Science, Japan Advanced Institute of Science and Technology Keywords: Clinical-Pathways, Healthcare team, Integrated Knowledge. Abstract This action research is building a theoretic model of knowledge management for the healthcare team working using clinical-pathways in Miyazaki University hospital. Clinical-pathways have been developed in healthcare as team working care plans that outline the sequence and timing of actions necessary for achieving expected patient outcome and organizational goals regarding quality, costs, patient satisfaction and efficiency. Therefore, many types of healthcare staff including doctors, nurses, and pharmacists compose clinical-pathways to share their knowledge about healthcare activities. However, the design of clinical-pathways has not sufficiently taken into consideration the fact that different types of healthcare staff assume different purposes of clinical practice, among others, based on their expertise and conception of healthcare. The aim of this action research is a better support for knowledge management among different kind of medical staff through clinical-pathways using ontology engineering. The clinical path of Miyazaki University hospital has been improved using ontology engineering. The improved clinical-pathways visualized the healthcare staff’s’ contextual knowledge. Miyazaki University hospital’s healthcare staffs of the practiced the improved clinical-pathways for the patients. Evaluation of the improved clinical-pathways is estimated by the results of the investigation (quantity and quality) of the clinical-pathways users. Four major findings are as follows. First, clinical-pathway users have recognized the difference among healthcare staffs' standpoints by ontology engineering. Second, clinical-pathway users have responded to patient's individuality using their contextual knowledge with the contents of a clinical-pathway. Third, patients and clinical-pathway users are changing their knowledge by the process of healthcare. Fourth, the observer (action.
(3) researchers) is extracted integrated knowledge from an individual knowledge change of patients and clinical-pathway users. Theoretical implications are as follows. The model as a “knowledge management of healthcare team with clinical-pathways” is proposed. First, this model provides continuously patients with individual care treatment by clinical-pathway. Second, patients are comprised in the healthcare team members with this model. Third, this model consists of four phases, “Integrating,” “Implementing,” “Expressing,” “Evaluating,”. At each phase, useful knowledge to clinical-pathway is created by the interaction between different types of knowledge. Fourth, this dynamic model produces clinical-pathway as unified knowledge from diverse knowledge. Therefore, this model indicates evolution of integrated knowledge in healthcare team (included patients) by clinical-pathway. As for practical implication, the interdisciplinary healthcare team using clinical-pathway is reflecting diversified viewpoints in clinical path activities. In the future, more research about other medical professionals than doctors and nurses should be conducted to refine the model. If it becomes so, evolution of the unified knowledge with the clinical-pathway will become further possible..
(4)
関連したドキュメント
金沢大学は学部，大学院ともに，人間社会学分野，理工学分野，医薬保健学分野の三領域体制を
医療保険制度では，医療の提供に関わる保険給
健学科の基礎を築いた。医療短大部の４年制 大学への昇格は文部省の方針により，医学部
金沢大学大学院 自然科学研 究科 Graduate School of Natural Science and Technology, Kanazawa University, Kakuma, Kanazawa 920-1192, Japan 金沢大学理学部地球学科 Department
2）医用画像診断及び臨床事例担当 松井 修 大学院医学系研究科教授 利波 紀久 大学院医学系研究科教授 分校 久志 医学部附属病院助教授 小島 一彦 医学部教授.
所・ウィスコンシン大学マディソン校の河岡義裕らの研究チームが Nature に、エラスムス
金沢大学は，去る3月23日に宝町地区の再開 発を象徴する附属病院病棟新営工事の起工式
医薬保健学域 College of Medical,Pharmaceutical and Health Sciences 医学類
