{"id":834,"date":"2023-10-06T17:51:33","date_gmt":"2023-10-06T08:51:33","guid":{"rendered":"http:\/\/cbel.jp\/?p=834"},"modified":"2023-12-25T13:49:04","modified_gmt":"2023-12-25T04:49:04","slug":"%e5%8c%bb%e7%99%82%e5%ae%9f%e8%b7%b5%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e5%ae%9f%e5%9c%a8%e8%ab%96%e3%81%8b%e3%82%89%e3%81%bf%e3%81%9f%e8%a8%ba%e6%96%ad%e3%81%ae%e3%81%82%e3%82%8a%e6%96%b9-%e2%80%95","status":"publish","type":"post","link":"http:\/\/cbel.jp\/en\/%e5%8c%bb%e7%99%82%e5%ae%9f%e8%b7%b5%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e5%ae%9f%e5%9c%a8%e8%ab%96%e3%81%8b%e3%82%89%e3%81%bf%e3%81%9f%e8%a8%ba%e6%96%ad%e3%81%ae%e3%81%82%e3%82%8a%e6%96%b9-%e2%80%95\/","title":{"rendered":"Diagnosis from the perspective of Ontology in Medical Practice: Coordinating multiple realities and promoting dialogue between patient and doctor"},"content":{"rendered":"<p><strong><span class=\"cf0\">Tabuchi Aya<\/span><\/strong><br \/>\nVolume 6 Issue 1 Pages 17-28<br \/>\nFirst Published: October 06, 2023<br \/>\n[in Japanese]<\/p>\n<p style=\"text-align: right;\"><a href=\"http:\/\/cbel.jp\/wp9835259570\/wp-content\/uploads\/2023\/10\/cbel-report_06_01_02_tabuchi.pdf\">PDF<\/a><\/p>\n<hr \/>\n<h4>Abstract<\/h4>\n<p>Diagnosis is crucial in medical practice, but doctors in some fields, such as Geriatric Palliative Care and critical care, face difficulty making a diagnosis. This paper examines the existing discourse on evidence-based medicine and narrative based medicine approaches, the prevailing means of diagnosis, including criticism of these in modern Japanese medicine. In particular, the concepts of evidence-based medicine and narrative based medicine make diagnosis difficult by premising an epistemological dichotomy between subject and object, with a prioritization of objective evidence. We explore the ontology in medical practice that Annemarie Mol has discussed as a way to overcome this; it entails regarding a diagnosis as one of the representations of multiple enacted realities. Given that, unlike in evidence-based medicine, diagnosis is not considered objective, physicians are not positioned as dominant over patients, thus fostering more egalitarian doctor-patient relationships. Moreover, focusing on reality may encourage dialogue about the best treatment for the patient because medical practices are not discussed in terms of patient\u2019s and doctor\u2019s personal interests.<\/p>\n<p>&nbsp;<\/p>\n<h4>Key words<\/h4>\n<p>Diagnosis, Ontology in medical practice, Dialogue between patient and doctor, Evidence-based medicine (EBM), Narrative based medicine (NBM)<\/p>","protected":false},"excerpt":{"rendered":"<p>Tabuchi Aya<br \/>\nVolume 6 Issue 1 Pages 17-28<br \/>\nFirst Published: October 06, 2023<br \/>\n[in Japanese]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[61],"class_list":["post-834","post","type-post","status-publish","format-standard","hentry","category-regular-article","tag-volume-6-issue-1"],"_links":{"self":[{"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/posts\/834","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/comments?post=834"}],"version-history":[{"count":4,"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/posts\/834\/revisions"}],"predecessor-version":[{"id":858,"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/posts\/834\/revisions\/858"}],"wp:attachment":[{"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/media?parent=834"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/categories?post=834"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/cbel.jp\/en\/wp-json\/wp\/v2\/tags?post=834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}