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薬理と治療
Abstract
Recent efforts of Japanese government have diminished the delays in marketing approval for new drugs; the government recommended that physicians must inform patients about investigational medical care as the next goal in the third Cancer Control Plan. The purpose of this study was to investigate the physicians’ and healthcare professionals’ awareness of 11 regulations and terms regarding advanced and investigational medical care, their experience with patient inquiries and difficulties, and their need for support systems of advanced and investigational medical care in oncology settings, by using an internet survey among 1042 healthcare professionals in clinical academic societies and cancer information and support centers in designated cancer care hospitals. We analyzed the differences in the above parameters among physicians, cancer information counselors, and other medical professionals. About 30% or less of healthcare professionals were aware of 8 out of 11 regulations and terms, and less than 20% were aware of the more recent regulations and terms. Cancer information counselors and other healthcare professionals were more experienced with patient inquiries than physicians. Similarly, cancer information counselors faced the most difficulties compared to other healthcare professionals and physicians. The recognition of current available support for healthcare professionals was associated with lower difficulties associated with patient inquiry. Healthcare professionals need all the seven support systems examined in this study, especially health professional support. A supporting environment is needed not only for patients but also among healthcare professionals. More studies are needed to elucidate how we establish a functional system to support patients and physicians.
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