家族との面接（家族図、続き）
Blogを見た、仕事仲間のN.S.先生からメールを頂いた。彼女もコミュニケーションの専門科である。
やっぱりしっかりとしたデータはないようですね。と。
誤解を招くといけないので、念を押しておくが、私は家族図や家族の問診、家庭環境を考慮した医療が無用だと思っているわけではない。むしろ臨床の現場では積極的に家族の状況を聞いているし、そういったことを考慮するようにレジデントには教えている。
しかし、データがなければそういうことを大切に思わない人たちへの説得力が激減してしまうのだ。ああ、リサーチの種ばかり。
Family Interviewing: A Review of the Literature in Primary Care (Fam Med 2002;34(5):312-8.)
Background: Interviewing families is an essential skill for family physicians, but there is little research on the process or outcomes of family interviewing in primary care. Methods: We conducted a search of MEDLINE and PsychINFO using a wide range of terms related to family interviewing. The studies obtained were grouped into one of four categories: physicians’ family orientation or level of family involvement, family genograms, family members who accompany patients to routine visits, and family conferences. Results: Family history and other family information are commonly collected, and family issues are often discussed in office visits. Genograms can be reliably and accurately obtained during brief visits, but they are not commonly used, and their impact is uncertain. Family members frequently accompany patients to office visits and serve various roles. The potential benefits and risks of these visits are not fully understood. Family conferences are infrequently used but are well accepted by patients and may be a cost-effective method for reducing unnecessary health care utiliza- tion. Conclusions: Physicians use a wide range of family interviewing approaches with individual patients, with family members who accompany patients to office visits, and in family conferences. More research is needed to examine the process and outcome of these different types of family interviewing.
ちなみにこの論文が掲載されている号のFamily MedicineはCommunicationについての特集号なので、興味のある方は目次だけでも眺めてみて欲しい。
