How Can Patient-Centered Medicine Be Implemented in Hospitals ? Interpretation of Medical Accident

Shinichi Takamoto＊

(Honorary President, The Japanese Society for Cardiovascular Surgery＊, Emeritus Professor, The University of Tokyo＊, Director, San-Ikukai Hospital＊)

The concept of Patient-Centered Medicine was first proposed by E. Balint in 1969 and since then it has widely disseminated world over and also in Japan. The Ministry of Health in Japan aims to implement Patient-Centered Medicine in all hospitals to improve the quality of medical care. In cases of medical death with problems all Hospital Administration Doctors should explain to the patient family the true interpretation. However, some Hospital Administration Doctors did not do this because true explanation might damage reputation of the hospital. The Ministry of Health should change persons who would request investigation of the medial accident at the Medical Safety Research Organization, from Hospital Administration Doctors to special Doctors who could recognize the good quality of medicine at the medical safety committee in special Medical Societies. If Medical Safety Research Organization could make real truth and future apply for the medical accident, hospital members could learn how to improve nice medical activity for severe patients with mission of Patient-Centered Medicine. Overall, it is hoped that the quality of medical care for patients will improve if the medical system become more Patient-Centered.

 

Jpn. J. Cardiovasc. Surg. 51: 259-264 （2022）

Keywords：Patient-Centered Medicine; medical accident; Hospital Administration Doctors; Medical Safety Research Organization