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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 84(1)

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.84.1.139
34efa16d-374d-4635-9593-fc8dcefa6511
名前 / ファイル ライセンス アクション
14_Iijima.pdf 14_Iijima.pdf (650 KB)
Item type itemtype_ver1(1)
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

en Iijima, Yoshihiko

Search repository
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
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 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
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
内容記述
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
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
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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