I had contacted three care homes through my personal connections. The managers, nurses and caregivers showed positive interest in my research. They agreed to my presence during activities in the care homes.
The allied doctors working at these facilities told me that they seldom engage in verbal interaction with their patients, except when performing clinical tasks. One doctor explained, “At elderly care homes, the condition of most patients is constantly monitored. Only a few words are exchanged, such as ‘Hello. How are you today?’ When the patient replies, ‘I’m fine,’ the conversation ends. Patients rarely speak to doctors either.” This blunt statement was somewhat shocking to me.
I had the opportunity to meet a physician who served as the hospital director. He listened attentively as I explained my research, and then recommended that I meet another doctor who shares a strong interest in patient-centred care and communication in clinical settings. He phoned the doctor immediately, and I was able to arrange an appointment.
On Friday, I flew back to Tokyo. Friday night, I met up with my old classmates for the first time in four years, which was a nice reunion.
On Monday, I flew to Kagoshima again to see the physician to whom I was introduced. His reaction towards my research was positive, and he told me that he would be willing to help. I felt greatly relieved and thought that there are certainly some doctors who are genuinely interested in patient-doctor communication.
Throughout my preliminary fieldwork, I have met seven doctors and visited six facilities.
I also met up with 18 friends, which was the most enjoyable part of my stay.
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