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Issues concerning life-prolonging treatment in Japan, as considered from attitudes among the legal and medical professions
https://doi.org/10.18999/nagjms.84.1.139
https://doi.org/10.18999/nagjms.84.1.13934efa16d-374d-4635-9593-fc8dcefa6511
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
14_Iijima.pdf (650 KB)
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| Item type | itemtype_ver1(1) | |||||||
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| 公開日 | 2022-02-28 | |||||||
| タイトル | ||||||||
| タイトル | Issues concerning life-prolonging treatment in Japan, as considered from attitudes among the legal and medical professions | |||||||
| 言語 | en | |||||||
| 著者 |
Iijima, Yoshihiko
× Iijima, Yoshihiko
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| アクセス権 | ||||||||
| アクセス権 | open access | |||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||
| 権利 | ||||||||
| 言語 | en | |||||||
| 権利情報Resource | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||||
| 権利情報 | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International | |||||||
| キーワード | ||||||||
| 言語 | en | |||||||
| 主題Scheme | Other | |||||||
| 主題 | profession | |||||||
| キーワード | ||||||||
| 言語 | en | |||||||
| 主題Scheme | Other | |||||||
| 主題 | end-of-life care | |||||||
| キーワード | ||||||||
| 言語 | en | |||||||
| 主題Scheme | Other | |||||||
| 主題 | clinical ethics | |||||||
| キーワード | ||||||||
| 言語 | en | |||||||
| 主題Scheme | Other | |||||||
| 主題 | withdrawing and withholding of life-prolonging treatment | |||||||
| 内容記述 | ||||||||
| 内容記述タイプ | Abstract | |||||||
| 内容記述 | In this paper, the author explores the clinical ethical issue of the withdrawal and withholding of life-prolonging treatment, surveying 2,848 lawyers and 2,469 doctors as medical and legal professionals in Japan on a variety of points for discussion. The main survey items are: (1) systems that should be used in the withdrawal and withholding of life-prolonging treatment at the end of life; (2) problems in determining treatment strategy at the end of life; (3) assessment of suspension of life support systems (extubation); and (4) strategies for better end-of-life care. While 42.2% of lawyers cited legislature and judiciary and 54.9% cited academic society guidelines as the system that should respond to the withdrawal and withholding of life-prolonging treatment, 23.3% of doctors cited the legislature and the judiciary, and 65.4% academic society guidelines. In relation to current end-of-life care, 81.3% of lawyers and 69.3% of doctors responded that there was room for improvement. Strategies for doing so included ensuring the transparency of and publishing decision procedures, and notification to government. It is important for medical institutions to normalize end-of-life care by making decisions with reference to guidelines and the like, ensuring the transparency of decision-making procedures, and being managed by a public institution. | |||||||
| 言語 | en | |||||||
| 内容記述 | ||||||||
| 内容記述タイプ | Other | |||||||
| 内容記述 | This survey was conducted under a Grant-in-Aid for Scientific Research C “Examination of the systematic involvement in ethical issues in medical setting”, the AMED Research and Development Grant for Dementia “Construction of an ethical support regime in the construction of a dementia registry system including the pre-clinical period”, and JST Moonshot R&D Grant Number JPMJMS2021. | |||||||
| 言語 | en | |||||||
| 出版者 | ||||||||
| 出版者 | Nagoya University Graduate School of Medicine, School of Medicine | |||||||
| 言語 | en | |||||||
| 言語 | ||||||||
| 言語 | eng | |||||||
| 資源タイプ | ||||||||
| 資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||||
| タイプ | departmental bulletin paper | |||||||
| 出版タイプ | ||||||||
| 出版タイプ | VoR | |||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||
| ID登録 | ||||||||
| ID登録 | 10.18999/nagjms.84.1.139 | |||||||
| ID登録タイプ | JaLC | |||||||
| 関連情報 | ||||||||
| 関連タイプ | isVersionOf | |||||||
| 識別子タイプ | URI | |||||||
| 関連識別子 | https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/841.html | |||||||
| 収録物識別子 | ||||||||
| 収録物識別子タイプ | PISSN | |||||||
| 収録物識別子 | 0027-7622 | |||||||
| 収録物識別子 | ||||||||
| 収録物識別子タイプ | EISSN | |||||||
| 収録物識別子 | 2186-3326 | |||||||
| 書誌情報 |
en : Nagoya Journal of Medical Science 巻 84, 号 1, p. 139-147, 発行日 2022-02 |
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