Survey of the general public's attitudes toward advance directives in Japan: How to respect patients' preferences [Book Review]
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
BMC Medical Ethics 7 (1):1-9 (2006)
Background Japanese people have become increasingly interested in the expression and enhancement of their individual autonomy in medical decisions made regarding medical treatment at and toward the end of life. However, while many Western countries have implemented legislation that deals with patient autonomy in the case of terminal illness, no such legislation exists in Japan. The rationale for this research is based on the need to investigate patient's preferences regarding treatment at the end of life in order to re-evaluate advance directives policy and practice. Methods We conducted a cross-sectional survey with 418 members of the general middle-aged and senior adults (aged between 40 and 65) in Tokyo, Japan. Respondents were asked about their attitudes toward advance directives, and preferences toward treatment options. Results Over 60% of respondents agreed that it is better to express their wishes regarding advance directives (treatment preferences in writing, appointment of proxy for care decision making, appointment of legal administrator of property, stating preferences regarding disposal of one's property and funeral arrangements) but less than 10% of them had already done so. About 60% of respondents in this study preferred to indicate treatment preferences in broad rather than concrete terms. Over 80% would like to decide treatment preferences in consultation with others (22.2% with their proxy, 11.0% with the doctor, and 47.8% with both their proxy and the doctor). Conclusion This study revealed that many Japanese people indicate an interest in undertaking advance directives. This study found that there is a range of preferences regarding how advance directives are undertaken, thus it is important to recognize that any processes put into place should allow flexibility in order to best respect patients' wishes and autonomy.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Akira Akabayashi, Brian Taylor Slingsby & Ichiro Kai (2003). Perspectives on Advance Directives in Japanese Society: A Population-Based Questionnaire Survey. [REVIEW] BMC Medical Ethics 4 (1):1-9.
David J. Doukas, Using the Family Covenant in Planning End-of-Life Care: Obligations and Promises of Patients, Families, and Physicians.
Ines M. Barrio-Cantalejo, Pablo Simón-Lorda, Adoración Molina-Ruiz, Fátima Herrera-Ramos, Encarnación Martínez-Cruz, Rosa Maria Bailon-Gómez, Antonio López-Rico & Patricia Peinado Gorlat (2013). Stability Over Time in the Preferences of Older Persons for Life-Sustaining Treatment. Journal of Bioethical Inquiry 10 (1):103-114.
J. Vollmann (2001). Advance Directives in Patients with Alzheimer's Disease; Ethical and Clinical Considerations. Medicine, Health Care and Philosophy 4 (2):161-167.
Leslie Pickering Francis (1993). Advance Directives for Voluntary Euthanasia: A Volatile Combination? Journal of Medicine and Philosophy 18 (3):297-322.
David Shaw (2011). A Direct Advance on Advance Directives. Bioethics 26 (5):267-274.
Christopher M. Burkle, Paul S. Mueller, Keith M. Swetz, C. Hook & Mark T. Keegan (2012). Physician Perspectives and Compliance with Patient Advance Directives: The Role External Factors Play on Physician Decision Making. [REVIEW] BMC Medical Ethics 13 (1):31-.
Jim Stone (1994). Advance Directives, Autonomy and Unintended Death. Bioethics 8 (3):223–246.
Stefania Negri (ed.) (2012). Self-Determination, Dignity and End-of-Life Care: Regulating Advance Directives in International and Comparative Perspective. M. Nijhoff Pub..
Tolga Guven & Gurkan Sert (2010). Advance Directives in Turkey's Cultural Context: Examining the Potential Benefits for the Implementation of Patient Rights. Bioethics 24 (3):127-133.
David J. Doukas, Toni Antonucci & Daniel W. Gorenflo (1992). A Multigenerational Study on the Correlation of Values and Advance Directives. Ethics and Behavior 2 (1):51 – 59.
Helga Kuhse (1999). Some Reflections on the Problem of Advance Directives, Personhood, and Personal Identity. Kennedy Institute of Ethics Journal 9 (4):347-364.
Miguel A. Sanchez-Conzalez (1997). Advance Directives Outside the USA: Are They the Best Solution Everywhere? Theoretical Medicine and Bioethics 18 (3):283-301.
Benjamin H. Levi & Michael J. Green (2010). Too Soon to Give Up: Re-Examining the Value of Advance Directives. American Journal of Bioethics 10 (4):3 – 22.
Renate G. Justin (1987). The Value History: A Necessary Family Document. Theoretical Medicine and Bioethics 8 (3).
Added to index2010-11-17
Total downloads9 ( #153,019 of 1,096,880 )
Recent downloads (6 months)6 ( #40,366 of 1,096,880 )
How can I increase my downloads?