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)
DOI 10.1076/jmep.23.6.601.2557
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 34,982
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

Global Bioethics: Utopia or Reality?Sirkku K. Hellsten - 2008 - Developing World Bioethics 8 (2):70-81.
Relational Autonomy and Multiculturalism.Fabrizio Turoldo - 2010 - Cambridge Quarterly of Healthcare Ethics 19 (4):542-549.

Add more citations

Similar books and articles

Analytics

Added to PP index
2009-01-28

Total downloads
54 ( #116,511 of 2,274,893 )

Recent downloads (6 months)
2 ( #217,244 of 2,274,893 )

How can I increase my downloads?

Monthly downloads

My notes

Sign in to use this feature