Although healthcare quality and patient safety have longstanding international attention, the target of reducing diagnostic errors has only recently gained prominence, even though numerous patients, families and professional caregivers have suffered from diagnostic mishaps for a long time. Similarly, patients have always been involved in their own care to some extent, but only recently have pat...

要旨: 聴覚障害のある教員 (聴覚障害教員) の職業生活と課題に関する質問紙調査結果を用い, 内容妥当性, 構成概念妥当性, 内的整合性など信頼性を確認して, 評価尺度 (40項目) を作成した。本尺度の項目は内容から, 国際生活機能分類 (ICF, WHO) における参加制約, 対応行動, 精神衛生の水準に対応すると解釈された。聴覚障害教員における参加制約は, 聴覚情報の制約, 他職員の障害理解, 保護者や児童生徒との関係, 障害による不安と懸念などの因子で規定されていた。とくに, 聴児を担当する教員や中等度難聴を有する教員において, 聞こえる児童等との関係形成に制約が生じ, 不安・懸念が大きい傾向が示された。課題の解決には, 教育職の意義の自覚に基づいた対応行動形成が重要であると指摘した。本尺度を用いて, 聴覚障害教員の職業生活と課題について個別に検討することで, 教育現場での参...

BACKGROUND Although cardiovascular screening is recommended for athletes before participating in sports, the role of 12-lead electrocardiography (ECG) remains uncertain. To date, no prospective data that compare screening with and without ECG have been available. OBJECTIVE To compare the performance of preparticipation screening limited to medical history and physical examination with a strat...

BACKGROUND There is growing recognition of patients' contributions to setting objectives for their own care, improving health outcomes and evaluating care. OBJECTIVE To quantify the extent to which European hospitals have implemented strategies to promote a patient-centred approach, and to assess whether these strategies are associated with hospital characteristics and the development of the ...

BACKGROUND The gathering of feedback on doctors from patients after consultations is an important part of patient involvement and participation. This study first assesses the 23-item Patient Feedback Questionnaire (PFQ) designed by the Picker Institute, Europe, to determine whether these items form a single latent trait. Then, an Internet module with visual representation is developed to gather...

In a general practice with an existing patient participation group, a survey of patients was undertaken to ascertain knowledge of and interest in the group. It was hoped that this might avoid the failure that had befallen other groups of this type. Analysis of the questionnaire provided useful information: there was interest in the group, with a potential attendance of almost three-quarters of ...

Objective To elicit patient stakeholders' experience and perspectives about patient-centred care. Design Qualitative. Setting A large urban healthcare system. Participants Four patient stakeholders who are prostate cancer survivors. Main outcome measures Experience and perspectives of patient stakeholders regarding patient-centred care and treatment decisions. Results Our patient stak...

We appropriate Rogoff’s (Apprenticeship in thinking: Cognitive development in social context, 1991; in: Wertsch et al. (eds.) Sociocultural studies of mind, 1993) notion of guided participation to demonstrate, through abbreviated case studies, our strategy for integrating mobile technology-based learning experiences in higher education. Guided participation implies facilitating access to shared...