{"_buckets": {"deposit": "9c17410e-a7de-49a7-bca9-585a75aad026"}, "_deposit": {"id": "30084", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "30084"}, "status": "published"}, "_oai": {"id": "oai:nagoya.repo.nii.ac.jp:00030084"}, "item_9_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2020-05", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "204", "bibliographicPageStart": "193", "bibliographicVolumeNumber": "82", "bibliographic_titles": [{"bibliographic_title": "Nagoya Journal of Medical Science"}]}]}, "item_9_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "We investigated the differences in Japanese and United States medical and legal professional opinions on ethical support for clinical ethical issues using the refusal of blood transfusions on the grounds of religious principles as an example of a clinical ethical issue. In ethical support systems for medical institutions in Japan, 95.0% of \u201cclinical training designation hospitals\u201d have hospital ethics committees, and 63.1% have medical safety divisions; clinical ethical support is provided in accordance with their scale and function. In terms of clinical ethical support limits the discretion of physicians, 59.2% of lawyers responded \u201cNo\u201d and 54.4% of doctors responded \u201cYes\u201d. In addition, on the feasibility of government or academic guidelines in clinical practice, 37.7% of lawyers responded \u201cYes\u201d and 63.0% of doctors responded \u201cNo\u201d. In terms of \u201crelative transfusion-free\u201d policy, 83.2% of lawyers and 76.8% of doctors responded that it is \u201cunavoidable,\u201d while 81.6% of U.S. committee heads responded that it is a \u201cviolation of rights.\u201d In terms of hospital transfers due to a hospital being unable to treat patients refusing blood transfusion, 62.6% of lawyers reported that it is \u201cunavoidable\u201d while 57.1% of U.S. committee heads reported that it \u201cshould be avoided\u201d. The results of this study indicate that medical and legal professionals and U.S. ethics committee heads recognize clinical ethical issues in slightly different ways.", "subitem_description_type": "Abstract"}]}, "item_9_description_5": {"attribute_name": "\u5185\u5bb9\u8a18\u8ff0", "attribute_value_mlt": [{"subitem_description": "This research was conducted with the help of a Grant-in-Aid for Scientific Research (type C) for \u201cInvestigating systemic contributions to contribute to ethical issues in clinical practice.\u201d This study was approved by the Nagoya University School of Medicine Ethics Committee (Approval No.: 2017-0491).", "subitem_description_type": "Other"}]}, "item_9_identifier_registration": {"attribute_name": "ID\u767b\u9332", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.18999/nagjms.82.2.193", "subitem_identifier_reg_type": "JaLC"}]}, "item_9_publisher_32": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "Nagoya University Graduate School of Medicine, School of Medicine"}]}, "item_9_relation_43": {"attribute_name": "\u7570\u7248\u3067\u3042\u308b", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/822.html ", "subitem_relation_type_select": "URI"}}]}, "item_9_select_15": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_9_source_id_61": {"attribute_name": "ISSN\uff08Online\uff09", "attribute_value_mlt": [{"subitem_source_identifier": "2186-3326", "subitem_source_identifier_type": "ISSN"}]}, "item_9_source_id_7": {"attribute_name": "ISSN\uff08print\uff09", "attribute_value_mlt": [{"subitem_source_identifier": "0027-7622", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Iijima, Yoshihiko"}], "nameIdentifiers": [{"nameIdentifier": "99265", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2020-06-01"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "05_Iijima.pdf", "filesize": [{"value": "460.8 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 460800.0, "url": {"label": "05_Iijima.pdf", "url": "https://nagoya.repo.nii.ac.jp/record/30084/files/05_Iijima.pdf"}, "version_id": "2ab4d176-a339-499b-87e5-5cc74a0ac286"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "clinical ethics", "subitem_subject_scheme": "Other"}, {"subitem_subject": "medical practice", "subitem_subject_scheme": "Other"}, {"subitem_subject": "hospital ethics committee", "subitem_subject_scheme": "Other"}, {"subitem_subject": "clinical ethical support", "subitem_subject_scheme": "Other"}, {"subitem_subject": "blood transfusion rejection", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "The ethics of blood transfusion refusal in clinical practice among legal and medical professions in Japan", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "The ethics of blood transfusion refusal in clinical practice among legal and medical professions in Japan"}]}, "item_type_id": "9", "owner": "1", "path": ["499/508/509/2504"], "permalink_uri": "https://doi.org/10.18999/nagjms.82.2.193", "pubdate": {"attribute_name": "\u516c\u958b\u65e5", "attribute_name_i18n": "\u516c\u958b\u65e5", "attribute_value": "2020-06-01"}, "publish_date": "2020-06-01", "publish_status": "0", "recid": "30084", "relation": {}, "relation_version_is_last": true, "title": ["The ethics of blood transfusion refusal in clinical practice among legal and medical professions in Japan"], "weko_shared_id": null}