内容紹介
Coproductive Teamwork in Surgical Cancer Treatment
Summary
With regard to surgical treatment of cancer, there is a strong demand for safe treatment with few errors: treatment must be based on transparency, understandability, and rationality. There is also demand for treatment which is quick, efficient and not wasteful. Rather than maintaining our current pyramidal system which has doctors standing as authorities at the top, there is a need for a flat, non-authoritarian system at every level and section of the hospital. As we change methodology, electronic medical records and clinical pathways will be important tools.
Among the surgical department's treatment team in our hospital, there are many branches at work on peri-operative management aside from operations; There are teams for infection control(ICT), nutrition support(NST), decubitus and stoma management, rehabilitaion, and chemotherapy, and team cooperation after discharge from hospital. In addition, the collaborative and coproductive team focusing on pain releif and palliative care in terminal phase(PCT)is important. Having introduced each of the parts of team treatment within the setting of the surgical department, the need now for strong leadership from young and brightful surgeons is also emphasized.
要旨
手術治療を中心とした外科でのがん診療において,安全でミスの少ない医療,説明性・納得性・論理性のある治療,そして迅速で効率的で無駄のない治療が強く求められている。従来の医師を頂点としたピラミッド構造の医療体制ではなく,職種によっての上下のないフラットな関係でチーム医療を進めることが必要であり,この意識変革には電子カルテやパスが重要なツールとなる。外科におけるチーム医療は,手術以外にも,周術期管理,特に感染対策,NST,褥瘡対策,ストーマ管理やリハビリテーション,がん化学療法,退院後の医療連携,さらには終末期の疼痛緩和や看取りなどがある。これらの外科診療の現場で行われている個々のチーム医療の実際を紹介し,チーム医療においては強力なリーダーシップを医師が発揮することが必要であることを強調した。
目次
Summary
With regard to surgical treatment of cancer, there is a strong demand for safe treatment with few errors: treatment must be based on transparency, understandability, and rationality. There is also demand for treatment which is quick, efficient and not wasteful. Rather than maintaining our current pyramidal system which has doctors standing as authorities at the top, there is a need for a flat, non-authoritarian system at every level and section of the hospital. As we change methodology, electronic medical records and clinical pathways will be important tools.
Among the surgical department's treatment team in our hospital, there are many branches at work on peri-operative management aside from operations; There are teams for infection control(ICT), nutrition support(NST), decubitus and stoma management, rehabilitaion, and chemotherapy, and team cooperation after discharge from hospital. In addition, the collaborative and coproductive team focusing on pain releif and palliative care in terminal phase(PCT)is important. Having introduced each of the parts of team treatment within the setting of the surgical department, the need now for strong leadership from young and brightful surgeons is also emphasized.
要旨
手術治療を中心とした外科でのがん診療において,安全でミスの少ない医療,説明性・納得性・論理性のある治療,そして迅速で効率的で無駄のない治療が強く求められている。従来の医師を頂点としたピラミッド構造の医療体制ではなく,職種によっての上下のないフラットな関係でチーム医療を進めることが必要であり,この意識変革には電子カルテやパスが重要なツールとなる。外科におけるチーム医療は,手術以外にも,周術期管理,特に感染対策,NST,褥瘡対策,ストーマ管理やリハビリテーション,がん化学療法,退院後の医療連携,さらには終末期の疼痛緩和や看取りなどがある。これらの外科診療の現場で行われている個々のチーム医療の実際を紹介し,チーム医療においては強力なリーダーシップを医師が発揮することが必要であることを強調した。