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The ethics of blood transfusion refusal in clinical practice among legal and medical professions in Japan
https://doi.org/10.18999/nagjms.82.2.193
https://doi.org/10.18999/nagjms.82.2.193f160aec9-cdd6-4d57-8cb7-172bb9f21d21
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
05_Iijima.pdf (460.8 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2020-06-01 | |||||
| タイトル | ||||||
| タイトル | The ethics of blood transfusion refusal in clinical practice among legal and medical professions in Japan | |||||
| 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 | ||||||
| 主題Scheme | Other | |||||
| 主題 | clinical ethics | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | medical practice | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | hospital ethics committee | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | clinical ethical support | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | blood transfusion rejection | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | 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 “clinical training designation hospitals” 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 “No” and 54.4% of doctors responded “Yes”. In addition, on the feasibility of government or academic guidelines in clinical practice, 37.7% of lawyers responded “Yes” and 63.0% of doctors responded “No”. In terms of “relative transfusion-free” policy, 83.2% of lawyers and 76.8% of doctors responded that it is “unavoidable,” while 81.6% of U.S. committee heads responded that it is a “violation of rights.” 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 “unavoidable” while 57.1% of U.S. committee heads reported that it “should be avoided”. 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. | |||||
| 言語 | en | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | This research was conducted with the help of a Grant-in-Aid for Scientific Research (type C) for “Investigating systemic contributions to contribute to ethical issues in clinical practice.” This study was approved by the Nagoya University School of Medicine Ethics Committee (Approval No.: 2017-0491). | |||||
| 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 | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | 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.82.2.193 | |||||
| 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 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/822.html | |||||
| ISSN（print） | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0027-7622 | |||||
| ISSN（Online） | ||||||
| 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 82, 号 2, p. 193-204, 発行日 2020-05 |
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| 著者版フラグ | ||||||
| 値 | publisher | |||||
