Physicians’s reports on the impact of living wills at the end of life in Japan

Journal of Medical Ethics 29 (4):248-252 (2003)
  Copy   BIBTEX

Abstract

Context: A growing number of Japanese people have completed advance directives, especially living wills, even though there is no legislation recognising such documents and little empirical research on their impact on clinical care at the end of life in Japan.Objectives: To investigate physicians’ attitudes about living wills and their experiences with patients who had completed a living will and later died.Design: Self administered survey and qualitative study using open question and content analysis.Setting: Japan.Participants: Physicians known to have cared for a patient who had presented a living will prior to death.Measurements: The physician’s response to receiving a living will, communication about the living will, the impact of the living will on clinical care, demographics, and their opinion on advance directives, especially living wills.Main results: Fifty five per cent of respondents approved of advance directives in general, and 34% had more opportunities to communicate with a patient and his/her family after receiving the living will. Sixty nine per cent of the physicians who received a living will did not, however, change their course of therapy as a consequence of receiving the living wills. Based on the analysis, we identified three areas of concern in the comments on living wills: concerns relative to patients, physicians, and families; social context, and clinical and administrative concerns. The physicians raised various topics for discussion; they tended to describe the issues from a clinical perspective.Conclusions: Our identified areas of concern should prove helpful in better understanding the clinical and ethical implications of living wills in Japan.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 74,213

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

End of Life Decisions: Attitudes of Finnish Physicians.H.-M. Hilden - 2004 - Journal of Medical Ethics 30 (4):362-365.
Living Wills and Substituted Judgments: A Critical Analysis.Jos V. M. Welie - 2001 - Medicine, Health Care and Philosophy 4 (2):169-183.
A Direct Advance on Advance Directives.David Shaw - 2012 - Bioethics 26 (5):267-274.
The Future Prospects for Living Wills.D. Greaves - 1989 - Journal of Medical Ethics 15 (4):179-182.
Advance Directives or Living Wills.S. Luttrell - 1999 - Journal of Medical Ethics 25 (1):65-66.

Analytics

Added to PP
2017-02-17

Downloads
0

6 months
0

Historical graph of downloads

Sorry, there are not enough data points to plot this chart.
How can I increase my downloads?

References found in this work

No references found.

Add more references