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 (categorize this paper)
Options
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
 
Download options
PhilPapers Archive


Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 10,561
External links
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
Fabrizio Turoldo (2010). Relational Autonomy and Multiculturalism. Cambridge Quarterly of Healthcare Ethics 19 (04):542-549.
Similar books and articles
Tristram H. Engelhardt Jr (1998). Critical Care: Why There is No Global Bioethics. Journal of Medicine and Philosophy 23 (6):643 – 651.
Analytics

Monthly downloads

Added to index

2009-01-28

Total downloads

9 ( #155,100 of 1,098,129 )

Recent downloads (6 months)

7 ( #33,032 of 1,098,129 )

How can I increase my downloads?

My notes
Sign in to use this feature


Discussion
Start a new thread
Order:
There  are no threads in this forum
Nothing in this forum yet.