Survey of Japanese physicians' attitudes towards the care of adult patients in persistent vegetative state

Journal of Medical Ethics

Volumn 25, Issue 4, 1999, Pages 302-308

  Asai, Atsushi ^a,b   Maekawa, Munetaka ^c   Akiguchi, Ichiro ^a   Fukui, Tsuguya ^a   Miura, Yasuhiko ^d   Tanabe, Noboru ^a   Fukuhara, Shunichi ^e  

^a KYOTO UNIVERSITY   (Japan)

^b MONASH UNIVERSITY   (Australia)

^c KOBE UNIVERSITY   (Japan)

^d JIKEI UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^e UNIVERSITY OF TOKYO   (Japan)

Author keywords

Japan; Life prolongation; Persistent vegetative state; Person; Physician; Resource allocation

Indexed keywords

ANTIBIOTIC AGENT;

ANTIBIOTIC THERAPY; ARTICLE; ARTIFICIAL FEEDING; FAMILY; HYDRATION; JAPAN; LIVING WILL; MEDICAL DECISION MAKING; MEDICAL ETHICS; PATIENT CARE; PERSISTENT VEGETATIVE STATE; PHYSICIAN ATTITUDE; PNEUMONIA; QUESTIONNAIRE;

EID: 0032816242     PISSN: 03066800     EISSN: None     Source Type: Journal    
DOI: 10.1136/jme.25.4.302     Document Type: Article

References (27)

1. Andrews K. Patients in the persistent vegetative state: problems in the long term management. British Medical Journal 1993;306:1600-2.
2. Gillon R. Patients in the persistent vegetative state: a response to Dr Andrew. British Medical Journal 1993;306:1602-3.
3. Emanuel LL, Barry MJ, Stoeckle JD, Ettelson LM, Emanuel EJ. Advance directives for medical care - a case for greater use. New England Journal of Medicine 1991;324:889-95.
4. The SUPPORT investigators. A controlled trial to improve care for seriously ill hospitalized patients. Journal of the American Medical Association 1995;274:1591-8.
5. Frankl D, Oye RK, Bellamy PE. Attitudes of hospitalized patients toward life support: a survey of 200 medical inpatients. American Journal of Medicine 1989;86:645-8.
6. Singer P. Rethinking life and death: the collapse of our traditional ethics. Oxford: Oxford University Press 1994.
7. Grubb A, Walsh P, Lambe N, Murrells T, Robinson S. Survey of British clinicians' view on management of patients in persistent vegetative state. Lancet 1996;348:35-40.
8. Payne K, Taylor RM, Stocking C, Sachs GA. Physicians' attitudes about the care of patients in the persistent vegetative state: a national survey. Annals of Internal Medicine 1996;125: 104-10.
9. Report from a survey of the Japanese general public regarding their preferences towards terminal care. Tokyo: Division of Public Policy, Ministry of Health and Welfare, 1994 (in Japanese).
10. Rowland LP. Merritt's textbook of neurology [9th ed]. Baltimore: Williams and Wilkins, 1995: 26.
11. Institute of Medical Ethics Working Party on the Ethics of Prolonging Life and Assisted Death. Withdrawal of life-support from patients in a persistent vegetative state. Lancet 1991; 337: 96-8.
12. American Neurological Association Committee on Ethical Affairs. Persistent vegetative state: report of the American Neurological Association Committee on Ethical Affairs. Annals of Neurology 1993;3:387-9.
13. Fox E, Stocking C. Ethics consultants' recommendations for life-prolonging treatment of patients in a persistent vegetative state. Journal of the American Medical Association 1993;270: 2578-82.
14. Young KK. Death: Eastern thought. In: Reich WT, ed. Encyclopedia of bioethics [revised ed]. New York: Macmillan Reference Library, 1995: 487-97.
15. Kodera S. Nippon-jin no seimei-kan. In: Tsukazaki T, Kamo N, eds. Seimei-rinri no genzai. Kyoto: Sekaisiso-sha, 1989: 51-69 (in Japanese).
16. Tatara K. On putting life first. Lancet 1995;346:327-8.
17. Tsukamoto Y. Patient's autonomy vs doctor's ethical integrity. Journal of Japan Association for Bioethics 1996;6:22-6 (in Japanese).
18. Deal SJ. Are doctors ignoring living wills? Pennsylvania Medicine 1996; Dec:34-7.
19. Asai A, Miura Y, Tanabe N, Fukuhara S, Kurihara M. Advance directives and other medical decisions concerning the end of life in cancer patients in Japan. European Journal of Cancer 1998; 4: 582-6.
20. Tsukamoto Y. Kanja no jokoketteiken to iryosha no ryosinnteki kyohi. Nenpo Iji Hogaku 1994;9:22-9 (in Japanese).
21. Asai A, Fukuhara S, Inoshita O, Miura Y, Tanabe N, Kurokawa K. Medical decisions concerning the end of life: a discussion with Japanese physicians. Journal of Medical Ethics 1997;23: 323-7.
22. Ikegami N, Campbell J. Medical care in Japan. New England Journal of Medicine 1995; 333:1295-9.
23. Gillon R. Persistent vegetative state and withdrawal of nutrition and hydration. Journal of Medical Ethics 1993;19:67-8.
24. Morreim EH. Profoundly diminished life: the casualties of coercion. Hastings Center report 1994;24:33-42.
25. Angell M. The case of Helga Wanglie: a new kind of "right to die" case. New England Journal Medicine 1991;325:511-12.
26. Simazaki A. Support systems are essential for women to become doctors. Medical Education (Japan) 1996;27:73-6 (in Japanese).
27. McIntyre RL. The significance of the legacy of Karen Ann Quinlan. Trends in Health Care, Law and Ethics 1993;8:7-19.