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International comparison research on euthanasia, assisted suicide, and palliative care of line withering amyotrophic lateral sclerosis (ALS)

Research Project

Project/Area Number 11672239
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionTohoku University

Principal Investigator

ITO Michiya  Tohoku University, Graduate School of Medicine, Lecturer (70221083)

Co-Investigator(Kenkyū-buntansha) KOINUMA Nobuo  Tohoku University, Graduate School of Medicine, Professor (60134095)
Project Period (FY) 1999 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 2000: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1999: ¥1,000,000 (Direct Cost: ¥1,000,000)
Keywordsamyotrophic lateral sclerosis / euthanasia / assisted suicide / Palliative care / Oregon state / Netherlands / pessimism / QOL / 筋萎縮性側策硬化症 / 筋萎縮性側索硬化症(ALS) / 神経難病 / 緩和医療 / 国際比較 / 倫理的配慮
Research Abstract

About the state of oneself ALS(amyotrophic lateral sclerosis) end term medical treatment “Positive struggle against disease" 25.7%, “Palliative care" 16.0%. “Assisted suicide" 9.2%, “Active euthanasia" 42.7%, “Others" 6.3%, “Those who love" It is alike and attaches. “Positive struggle against disease" 27.7%, “Palliative care" 13.0%, “Assisted suicide" 6.8%, “Active euthanasia" 33.5%, “Others" 118.9%. “.Both" Oneself “and" Those who love “to hope" Active euthanasia “is higher the technical system students < medical welfare system students (p<0.01) and male < female (p<0.01)." Positive struggle against disease “is higher the technical system students > medical welfare system students (p<0.01) and male > female (p<0.01).
Moreover to hope “Active euthanasia",. “Oneself" > “Those who love" (p<0.001).
According to the maltiple regression analysis which made the purpose variable the 2nd way-that-should-be reply of care for “Those who love", it is especially a significant item (r=0.50, p=0.0015). “Oneself" It was selection (r=0.35, p=0.005) of the 2nd “Oneself".
The way which sticks ALS and has medical knowledge is forbidden law. “Active euthanasia" It was alike and the affirmative thing was suggested.
Moreover “Those who love" the tendency which is made in agreement with its own case, and is considered about care also became clear.
It was considered to lead to avoiding the pessimism of the medical welfare students concerned to attach and educate “Palliative care" and “Meaning of a positive struggle against intractable disease" repeatedly.

Report

(3 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • Research Products

    (25 results)

All 2000 1999 Other

All Journal Article (5 results) (of which Peer Reviewed: 2 results) Presentation (2 results) Book (2 results) Publications (16 results)

  • [Journal Article] 『家族性腫瘍における遺伝子診断の研究とこれを応用した診療に関するガイドライン(案)』に関する調査報告2000

    • Author(s)
      伊藤 道哉, 山崎壮一郎, 他
    • Journal Title

      生命倫理 10(1)

      Pages: 133-140

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] 遺伝子診断ガイドライン2000

    • Author(s)
      伊藤 道哉
    • Journal Title

      EBMジャーナル 2(1)

      Pages: 93-98

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Journal Article] 遺伝子素因診断の倫理と経済2000

    • Author(s)
      伊藤 道哉
    • Journal Title

      東北医学雑誌 112

      Pages: 69-71

    • NAID

      10013028853

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] The investigation report about: "the guideline (proposal) about the medical examination adapting the research and this of genetic testing in familial cancer2000

    • Author(s)
      Michiya ITO, Soichiro YAMAZAKI, et al
    • Journal Title

      Bioethics 10 (1)

      Pages: 133-140

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Journal Article] On Genetic diagnosis guideline.2000

    • Author(s)
      Michiya ITO
    • Journal Title

      The EBM Journal 2 (1)

      Pages: 93-98

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Presentation] ALS患者の闘病期間と不安に関する研究1999

    • Author(s)
      伊藤 道哉
    • Organizer
      日本生命倫理学会第11回年次大会
    • Place of Presentation
      千葉大学
    • Year and Date
      1999-11-27
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Presentation] Study on ALS patients' anxiety, through disease period.1999

    • Author(s)
      Michiva ITO, Soichiro YAMAZAKI, Nobuo KOINUMA
    • Organizer
      11^<th> The Japanese Association for Bioethics
    • Place of Presentation
      Chiba
    • Year and Date
      1999-11-27
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Book] 遺伝子検査ガイドライン アメリカ大統領特別委員会最終報告書2000

    • Author(s)
      濃沼信夫, 伊藤道哉, 他 共訳
    • Total Pages
      153
    • Publisher
      厚生科学研究所
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Book] Gene inspection guideline, U. S. Special Committees final report document.2000

    • Author(s)
      Nobuo KOINUMA : supervision of translation, Michiya ITO assignment translation
    • Total Pages
      153
    • Publisher
      The Welfare Science Research Institute, Tokyo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 伊藤道哉,山崎壮一郎 他: "『家族性腫瘍における遺伝子診断の研究とこれを応用した診療に関するガイドライン(案)』に関する調査報告"生命倫理. 10(1). 133-140 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 伊藤道哉: "遺伝子診断ガイドライン"EBMジャーナル. 2(1). 93-98 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 伊藤道哉: "遺伝子素因診断の倫理と経済"東北医学雑誌. 112. 69-71 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Hanshng Ding,Michiya Ito et al: ": Subsidy Supports Inefficiency Government-owned Hospitals in Japan"Japan Hospitals, Journal of the Japan Hospital. 19. 15-21 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 伊藤道哉: "今こそ看護倫理の視座を定めよう"ナースマネジャー. 1(5). 39-41 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] 伊藤道哉 他: "ALS患者の闘病期間と不安に関する研究"日本生命倫理学会第11回年次大会プログラム・予稿集. 45-45 (1999)

    • Related Report
      2000 Annual Research Report
  • [Publications] 濃沼信夫,伊藤道哉 他 共訳: "遺伝子検査ガイドライン アメリカ大統領特別委員会最終報告書"厚生科学研究所. 153 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 伊藤道哉 他: "特定疾患患者の生活の質(QOL)の向上に関する研究班 平成11年度報告書"特定疾患患者の生活の質(QOL)の向上に関する研究班. 160 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 伊藤 道哉: "チーム医療とクリティカルパス"プラクティス. 16・4. 388-392 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 伊藤 道哉: "今こそ看護倫理の視座を定めよう"ナースマネージャー. 1・5. 39-41 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 伊藤 道哉: "エイジズム ラスト"臨床老年看護. 6・3. 128-135 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 伊藤 道哉: "ALS遺伝子診断ガイドラインの必要性"病院管理. 36 Suppl. 165-165 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 伊藤 道哉: "エビデンスを揺るがす「効果」"トータルケアマネジメント. 4・2. 90-96 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 伊藤 道哉: "ALS患者の闘病期間と不安に関する研究"日本生命倫理学会第11回年次大会 予稿集. 45-45 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 濃沼信夫,伊藤道哉他: "クリティカルパスQ&A"日総研出版. 250 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 濃沼信夫他: "医療白書 99"日本医療企画. 219 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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