17 found
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  1.  6
    Should We Aim to Create a Perfect Healthy Utopia? Discussions of Ethical Issues Surrounding the World of Project Itoh’s Harmony.Atsushi Asai, Taketoshi Okita, Motoki Ohnishi & Seiji Bito - 2020 - Science and Engineering Ethics 26 (6):3249-3270.
    To consider whether or not we should aim to create a perfect healthy utopia on Earth, we focus on the SF novel Harmony, written by Japanese writer Project Ito, and analyze various issues in the world established in the novel from a bioethical standpoint. In the world depicted in Harmony, preserving health and life is a top priority. Super-medicine is realized through highly advanced medical technologies. Citizens in Harmony are required to strictly control themselves to achieve perfect health and must (...)
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  2.  13
    Matters to address prior to introducing new life support technology in Japan: three serious ethical concerns related to the use of left ventricular assist devices as destination therapy and suggested policies to deal with them.Atsushi Asai, Sakiko Masaki, Taketoshi Okita, Aya Enzo & Yasuhiro Kadooka - 2018 - BMC Medical Ethics 19 (1):12.
    Destination therapy is the permanent implantation of a left ventricular assist device in patients with end-stage, severe heart failure who are ineligible for heart transplantation. DT improves both the quality of life and prognosis of patients with end-stage heart failure. However, there are also downsides to DT such as life-threatening complications and the potential for the patient to live beyond their desired length of life following such major complications. Because of deeply ingrained cultural and religious beliefs regarding death and the (...)
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  3.  6
    The Ethics of the Reuse of Disposable Medical Supplies.Anjan Kumar Das, Taketoshi Okita, Aya Enzo & Atsushi Asai - 2020 - Asian Bioethics Review 12 (2):103-116.
    The use of single-use items is now ubiquitous in medical practice. Because of the high costs of these items, the practice of reusing them after sterilisation is also widespread especially in resource-poor economies. However, the ethics of reusing disposable items remain unclear. There are several analogous conditions, which could shed light on the ethics of reuse of disposables. These include the use of restored kidney transplantation and the use of generic drugs etc. The ethical issues include the question of patient (...)
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  4.  21
    Hope for the Best and Prepare for the Worst: Ethical Concerns Related to the Introduction of Healthcare Artificial Intelligence.Atsuchi Asai, Taketoshi Okita, Aya Enzo, Motoki Ohnishi & Seiji Bito - 2019 - Eubios Journal of Asian and International Bioethics 29 (2):64-70.
    Background: The introduction of healthcare AI to society as well as the clinical setting will improve individual health statuses and increase the possible medical choices. AI can be, however, regarded as a double-edged sword that might cause medically and socially undesirable situations. In this paper, we attempt to predict several negative situations that may be faced by healthcare professionals, patients and citizens in the healthcare setting, and our society as a whole. Discussion: We would argue that physicians abuse healthcare AI (...)
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  5.  1
    Discussions on Present Japanese Psychocultural-Social Tendencies as Obstacles to Clinical Shared Decision-Making in Japan.Seiji Bito, Taketoshi Okita & Atsushi Asai - 2022 - Asian Bioethics Review 14 (2):133-150.
    In Japan, where a prominent gap exists in what is considered a patient’s best interest between the medical and patient sides, appropriate decision-making can be difficult to achieve. In Japanese clinical settings, decision-making is considered an act of choice-making from multiple potential options. With many ethical dilemmas still remaining, establishing an appropriate decision-making process is an urgent task in modern Japanese healthcare. This paper examines ethical issues related to shared decision-making in clinical settings in modern Japan from the psychocultural-social perspective (...)
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  6.  32
    Ethical Obligations in the Face of Dilemmas Concerning Patient Privacy and Public Interests: The Sasebo Schoolgirl Murder Case.Yasuhiro Kadooka, Taketoshi Okita & Atsushi Asai - 2016 - Bioethics 30 (7):520-527.
    A murder case that had some features in common with the Tarasoff case occurred in Sasebo City, Japan, in 2014. A 15-year-old high school girl was murdered and her 16-year-old classmate was arrested on suspicion of homicide. One and a half months before the murder, a psychiatrist who had been examining the girl called a prefectural child consultation centre to warn that she might commit murder, but he did not reveal her name, considering it his professional duty to keep it (...)
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  7.  3
    Grounds for Surrogate Decision-Making in Japanese Clinical Practice: A Qualitative Survey.Atsushi Asai, Taketoshi Okita, Aya Enzo, Kayoko Ohnishi & Masashi Tanaka - 2021 - BMC Medical Ethics 22 (1):1-12.
    BackgroundIn the coming years, surrogate decision-making is expected to become highly prevalent in Japanese clinical practice. Further, there has been a recent increase in activities promoting advance care planning, which potentially affects the manner in which judgements are made by surrogate decision-makers. This study aims to clarify the grounds on which surrogate decision-makers in Japan base their judgements.MethodsIn this qualitative study, semi-structured interviews were conducted to examine the judgement grounds in surrogate decision-making for critical life-sustaining treatment choices in acute care (...)
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  8.  19
    Matters to Address Prior to Introducing New Life Support Technology in Japan: Three Serious Ethical Concerns Related to the Use of Left Ventricular Assist Devices as Destination Therapy and Suggested Policies to Deal with Them.Atsushi Asai, Sakiko Masaki, Taketoshi Okita, Aya Enzo & Yasuhiro Kadooka - 2018 - BMC Medical Ethics 19 (1):1-8.
    Background Destination therapy is the permanent implantation of a left ventricular assist device in patients with end-stage, severe heart failure who are ineligible for heart transplantation. DT improves both the quality of life and prognosis of patients with end-stage heart failure. However, there are also downsides to DT such as life-threatening complications and the potential for the patient to live beyond their desired length of life following such major complications. Because of deeply ingrained cultural and religious beliefs regarding death and (...)
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  9.  27
    Reexamination of the Concept of ‘Health Promotion’ Through a Critique of the Japanese Health Promotion Policy.Taketoshi Okita, Aya Enzo & Atsushi Asai - 2017 - Public Health Ethics 10 (3):267-275.
    This article presents a critique of the health promotion policy of Japan, which is based on an examination of the social importance of and justification for health promotion. This is done to suggest the proper direction that the future Japanese policy could take, and to question the adequacy of the term of ‘health promotion’. We find the ‘social progress’ characterization of the ‘Second Term of National Health Promotion Movement in the Twenty-First Century - Health Japan 21 ’ to be problematic. (...)
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  10.  19
    A Critical Discussion of Arguments Against the Introduction of a Two-Tier Healthcare System in Japan.Atsushi Asai, Taketoshi Okita, Masashi Tanaka & Yasuhiro Kadooka - 2017 - Asian Bioethics Review 9 (3):171-181.
    In medical ethics, an appropriate national healthcare system that meets the requirements of justice in healthcare resource allocation is a major concern. Japan is no exception to this trend, and the pros and cons of introducing a two-tier healthcare system, which permits insured medical care services to be provided along with services not covered by social health insurance, have been the subject of debate for many years. The Supreme Court ruled in 2011 that it was valid for the government to (...)
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  11.  2
    Physician Use of the Phrase “Due to Old Age” to Address Complaints of Elderly Symptoms in Japanese Medical Settings: The Merits and Drawbacks.Atsushi Asai, Taketoshi Okita, Masashi Tanaka, Seiji Bito & Motoki Ohnishi - 2022 - Clinical Ethics 17 (1):14-21.
    In everyday medical settings in Japan, physicians occasionally tell an elderly patient that their symptoms are “due to old age,” and there is some concern that patient care might be negatively impacted as a result. That said, as this phrase can have multiple connotations and meanings, there are certain instances in which the use of this phrase may not necessarily be indicative of ageism, or prejudice against the elderly. One of the goals in medical care is to address pain and (...)
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  12.  22
    What Deserves Our Respect? Reexamination of Respect for Autonomy in the Context of the Management of Chronic Conditions.Aya Enzo, Taketoshi Okita & Atsushi Asai - 2019 - Medicine, Health Care and Philosophy 22 (1):85-94.
    The global increase in patients with chronic conditions has led to increased interest in ethical issues regarding such conditions. A basic biomedical principle—respect for autonomy—is being reexamined more critically in its clinical implications. New accounts of this basic principle are being proposed. While new accounts of respect for autonomy do underpin the design of many public programs and policies worldwide, addressing both chronic disease management and health promotion, the risk of applying such new accounts to clinical setting remain understudied. However, (...)
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  13.  9
    Changing Our Perspective: Is There a Government Obligation to Promote Autonomy Through the Provision of Public Prenatal Screening?Aya Enzo, Taketoshi Okita & Atsushi Asai - 2021 - Bioethics 35 (1):40-46.
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  14.  6
    The Application of Artificial Intelligence to the Medical Field: Report of a Qualitative Investigation.Taketoshi Okita, Atsushi Asai, Tsuyoshi Horie & Seiji Bito - 2020 - Eubios Journal of Asian and International Bioethics 30 (5):230-233.
    Progress in artificial intelligence technological innovation raises questions about the role of medical staff and the meaning of medical specialization. This study involved a qualitative survey of medical professionals and ordinary citizens to expand knowledge of this topic. A combination of Neo-Socratic Dialogue and Transfer Dialogue techniques, was used to acquire knowledge related to emerging forms of medical care and changing work demands after the implementation of AI, qualitatively analyzing the TD transcript only. Eleven subjects participated in two surveys. The (...)
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  15.  5
    Japanese Bioethical Challenges Concerning Self-Management Support For Patients With Chronic Conditions: An Analysis of Quality of Life & Autonomy.Aya Enzo, Taketoshi Okita & Atsushi Asai - 2016 - Eubios Journal of Asian and International Bioethics 26 (5):175-179.
    Prevention and control of chronic conditions are global healthcare challenges. Patient self-management has been deemed essential for treating chronic conditions and improving the quality of patient life. However, the current Japanese system for supporting patient self-management of chronic conditions has received little ethical assessment. The first aim of this article is to provide an ethical analysis of current Japanese support for self-management of chronic conditions with reference to international discussions concerning self-management, developed mainly in western societies such as Europe, the (...)
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  16.  14
    Conflicting Messages Concerning Current Strategies Against Research Misconduct in Japan: A Call for Ethical Spontaneity.Atsushi Asai, Taketoshi Okita & Aya Enzo - 2016 - Journal of Medical Ethics 42 (8):524-527.
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  17.  3
    Letter to the Editor: The Challenges of Medical Ethics Educators at a Research University.Atsushi Asai, Taketoshi Okita & Aya Enzo - 2017 - Eubios Journal of Asian and International Bioethics 27 (1):22-22.
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