Serving the emperor without asking: Critical care ethics in japan
Journal of Medicine and Philosophy 23 (6):601 – 615 (1998)
| Abstract | This article is an attempt by Japanese physicians to introduce the practice patterns and moral justification of Japanese critical care to the world. Japanese health care is characterized by the fact that the fee schedule does not reward high technology medicine, such as surgery and critical care. In spite of the low reimbursement, our critical care practice pattern is characterized by continuing futile treatment for terminal patients in the intensive care unit (ICU). This apparently wasteful practice can be explained by fundamental Japanese cultural values, social factors in Japan, the availability of extensive insurance coverage, physicians' psychological factors, lack of cost-benefit considerations and the pragmatic approach the Japanese take to situations. We attempt to make some brief suggestions regarding the improvement of our critical care practices. Although we can not fully present quantitative data to support our argument, this article represents our real-world approaches to the ethical issues in the ICU in Japan. | |||||||||
| Keywords | No keywords specified (fix it) | |||||||||
| Categories | ||||||||||
| Options |
|
|||||||||
Download options| PhilPapers Archive |
Upload a copy of this paper Check publisher's policy on self-archival Papers currently archived: 5,709 |
| External links |
 |
| Through your library | Configure |
Similar books and articlesTristram H. Engelhardt Jr (1998). Critical Care: Why There is No Global Bioethics. Journal of Medicine and Philosophy 23 (6):643 – 651.
Mark Coeckelbergh (2010). Health Care, Capabilities, and Ai Assistive Technologies. Ethical Theory and Moral Practice 13 (2).
Laura Hawryluck, William Harvey, Louise Lemieux-Charles & Peter Singer (2002). Consensus Guidelines on Analgesia and Sedation in Dying Intensive Care Unit Patients. BMC Medical Ethics 3 (1):1-9.
Robert F. Weir (1989). Abating Treatment with Critically Ill Patients: Ethical and Legal Limits to the Medical Prolongation of Life. Oxford University Press.
Kath M. Melia (2004). Health Care Ethics: Lessons From Intensive Care. Sage Publications.
Tony Hope, John Mcmillan & Elaine Hill (2010). Intensive Care Triage: Priority Should Be Independent of Whether Patients Are Already Receiving Intensive Care. Bioethics 26 (5):259-266.
Douglas N. Walton (1983). Ethics of Withdrawal of Life-Support Systems: Case Studies on Decision-Making in Intensive Care. Greenwood Press.
F. Cheng, Mary Ip, K. K. Wong & W. W. Yan (1998). Critical Care Ethics in Hong Kong: Cross-Cultural Conflicts as East Meets West. Journal of Medicine and Philosophy 23 (6):616 – 627.
Laurence B. McCullough (1998). A Transcultural, Preventive Ethics Approach to Critical-Care Medicine: Restoring the Critical Care Physician's Power and Authority. Journal of Medicine and Philosophy 23 (6):628 – 642.
Yali Cong (1998). Ethical Challenges in Critical Care Medicine: A Chinese Perspective. Journal of Medicine and Philosophy 23 (6):581 – 600.
Analytics
Monthly downloads |
Added to index2009-01-28Total downloads2 ( #232,684 of 550,854 )Recent downloads (6 months)1 ( #63,425 of 550,854 )How can I increase my downloads? |
My notes
Discussion
