Concepts of trust and distrust in physician-patient relationship in Japan

ニホンジン ノ イリョウ ニ タイスル シンライ ト フシン ノ コウゾウ イシ カンジャ カンケイ ヲ チュウシン ニ

ニシガキ, エツヨ

Nishigaki, Etsuyo

浅井, 篤

アサイ, アツシ

Asai, Atsushi

大西, 基喜

オオニシ, モトキ

Ohnishi, Motoki

福井, 次矢

フクイ, ツグヤ

Fukui, Tsuguya

オオサカ ダイガク ダイガクイン ニンゲン カガク ケンキュウカ タイジン シャカイ シンリガク ケンキュウシツ

信頼

不信

グラウンデッドセオリーアプローチ

質的研究法

physician-patient relationship

trust

distrust

grounded theory approach

qualitative study

The development and maintenance of trust in the physician-patient relationship is essential for the practice of high quality health care. However, distrust of medicine has been more serious in Japan recently. The purpose of this study is to explore the factors of patient trust and distrust in physicians among Japanese. We conducted 25 semi-structured interviews with Japanese citizens based on grounded theory approach. Categories regarding patient trust included (1)physician's competency, (2)appropriate responses to patients, and (3)emotional aspects of the physician-patient relationship. Ten sub-categories were derived from these categories, which included physician's reputation, personal and social characteristics of the physician, outcomes of the treatment, physician's appropriate manner, full disclosure of medical information and informed consent, respect for patients' interest, limit of providing enough care, sympathy and compassion, physician's communication skill and communicability, patients' emotions. The result of our study shows that some parts of the patient trust we figured out were similar to the factors found in the previous studies done in western countries. However, some parts of the sub-categories we found out seems unique to our culture. More detailed analysis on characteristics of Japanese interpersonal relationship will be needed.

浅井, 篤

大西, 基喜

福井, 次矢