日本 ICU 临终关怀的伦理和法律观点。
End-of-life considerations in the ICU in Japan: ethical and legal perspectives.
机构信息
Department of Critical Care Medicine, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1264, New York, NY 10029 USA.
Clinical Professor of Emergency/Critical Care Medicine Department, St. Marianna Medical School, 2-16-1 Sugao Miyamae-ku, 216-8511 Kawasaki City, Kanagawa, Prefecture, Japan.
出版信息
J Intensive Care. 2014 Feb 18;2(1):9. doi: 10.1186/2052-0492-2-9. eCollection 2014.
Abstract
In Japan, the continuation of critical care at the end of life is a common practice due to the threat of legal action against physicians that may choose a palliative care approach. This is beginning to change due to public debate related to a series of controversial incidents concerning end-of-life care over the last decade. In this review we contrast and compare the history and evolution of end-of-life care in Japan vs. the USA and other Asian countries. Efforts by the Japanese Society of Intensive Care Medicine (JSICM) to establish better end-of-life care systems, as well as future directions in palliative care in Japan, are discussed.
摘要
在日本，由于担心选择姑息治疗方法的医生可能会面临法律诉讼，因此在生命末期继续进行重症监护是一种常见做法。这种情况正在发生变化，因为过去十年中与临终关怀相关的一系列有争议的事件引发了公众辩论。在这篇综述中，我们对比了日本与美国和其他亚洲国家在临终关怀方面的历史和演变。讨论了日本重症监护医学学会（JSICM）为建立更好的临终关怀系统所做的努力，以及日本姑息治疗的未来方向。
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