複数の専門分野から50冊の教科書に掲載されている末期介護の内容
M W Rabow1, G E Hardie, J M Fair
1Division of General Internal Medicine, University of California, San Francisco 94115, USA. mrabow@medicine.ucsf.edu
JAMA
|February 22, 2000
まとめ
医学教科書は,終末期ケアに関する情報が限られており,予想される内容の半分以上が欠落しています. このレビューは,医師のための重要な緩和ケア教育における重要なギャップを強調しています.
科学分野:
- 医療教育 医療教育について
- 緩和ケアに関する研究
- 教科書分析 教科書分析
背景:
- 既存のレビューは,医学教科書における終末期ケア (EOLC) の内容が不十分であることを示しています.
- 教科書には,さまざまな医学専門分野におけるEOLCの包括的な分析が欠けています.
研究 の 目的:
- 様々な医学教科書に掲載されているEOLCの情報の妥当性を定量化・評価する.
- 内容の欠陥のある特定のEOLC領域と医学分野を特定する.
主な方法:
- 12の専門分野における50の主要な医学教科書の1998年のレビュー.
- 13のEOLCドメインのコンテンツ分析,不在,最小,または有用な存在を評価しました.
- EOLCに関連するページ数に関する教科書インデックスの分析.
主要な成果:
- 有益な EOLC 情報は,ドメインの24.1% にのみ存在し,56.9% は全く存在しなかった.
- 外科,感染症,腫瘍学の教科書は,コンテンツの欠落が最も多かった.
- 家族医学,老年医学,精神医学の教科書は,最も多くのEOLCの内容を提供しましたが,それでも重要なギャップがありました.
結論:
- 主要な医学教科書は,終末期ケアに関する情報が不十分である.
- 疾患特有の章には,重要なEOLCの詳細が欠けることが多く,医師の準備に影響を与えます.
- EOLCの社会的,精神的,倫理的,家族的な側面は特に過小評価されています.
キーワード:
死と安楽死について
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