-
D.V.M., M.S.
LEGO SERIOUS PLAY Method
(2014-) (2007-2010) (2001-2005)
2
-
Google 303,000
Shaw, Adams, & Bonnett. (2004) 50%
2012(100%), 2013(50%), 2014(44%)
-
4
0%10%20%30%40%50%60%70%80%90%
100%
101 102 1037 100% 50% 44% 0% 17% 56% 0% 33% 0%
0%
33%
0%0%
17%
56%
100%
50% 44%
5 18 9
-
5
-
() 32
OSCE(12+12+) (1); (2); (3); (4)
-
/
7
(2005)
-
(Sanson-FisherandPook,1978)
(2005)
-
Tinga2001JAVMA
2009
(World Organization for Animal Health, OIE)2013
9
-
10
-
11
-
/
/
/
/
-
/
/
/
/
-
14
=
-
Your goal should be to find the veterinarian who you believe
can
best meet your pet's medical needs and with whom you feel
comfortable in establishing a
long-term veterinarian-client-patient relationship.
-AVMA
-
The best way to choose a veterinarian is the same
way you would select a friend, a church or a club
pay them a visit.
If you do not like the receptionists attitude
you will probably not like the veterinarian's either.
-Ron Hines D.V.M. PhD
-
20
1995
17
-
20
160 66(41%) 11(7%)
-
20
-
LEGO Serious Play
1990(Johan Roos)(Bart Victor)
Hands-on, Minds-on
h7p://www.wikiwand.com/zh-hant/
-
15 A B
B
-
(LEGO SERIOUS PLAY Six bricks)
23
-
24
0%10%20%30%40%50%60%70%
70%
40%
10%
-
Dr. Google
&, &
26
-
27
-
Shaw2004JAVMA --
(veterinarian-client-patient communication)
300 (components)
28
-
//
(2005)
-
=+ (medical decision making) (shared decision-making
model, SDM) (paternalistic decision-
making model) (informed decision-making
model)
,,,,&,2015
-
,,,,&,2015
-
SDM
SDM
-
,,,,&,2015
1.
2. 3. 4.
Step1
-
,,,,&,2015
5. 6. 7. 8.
5/28
Step1
-
Step1
,,,,&,2015
1.
2. 3.
-
50%(Starfield et al. 1981)
(Beckman & Frankel, 1984)
(Beckman & Frankel, 1984) (2005)
-
(Tuckett et al, 1985)
900%Waitzkin, 1984; Makoul et al., 1995)
(Kindelan &
Kent, 1987) (2005)
-
,,,,&,2015
Step2
-
(quality of life, QoL) Institution of Medicine (IOM): (quality
of life scale for pets)
h7ps://journeyspet.com/quality-of-life-scale-pets/
-
> 56
25-55
< 24(pain)(suffering)
80
8 h7ps://journeyspet.com/quality-of-life-scale-pets/
-
,,,,&,2015
Step3
QoL
-
/ ()
-
--
()
43
