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Comparative Perspectives on the Law & Ethics on the Expanded Newborn Screening: Japan & U.S.

Research Project

Project/Area Number 15K03248
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field New fields of law
Research InstitutionSophia University

Principal Investigator

IWATA Futoshi  上智大学, 法学部, 教授 (60327864)

Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords医事法 / 新生児スクリーニング / 公衆衛生 / プライバシー / 研究倫理
Outline of Final Research Achievements

This research project has looked at the legal and ethical issues of newborn screening ("NBS”) programs mainly in Japan and the U.S. The NBS is the pre-symptomatic screening of genetic disorders in order to save babies life and to prevent their disabilities by early detection and by early treatment.
Recently, the number of disorders for screening are large expanded in both countries (e.g., over 50 panels) and other developed countries. One says that these expansions are largely technologically driven since the invention of new device (Tandem Mass Spectrometry) has a great impact its expansions. There are several important unanswered issues in NBS programs such as (1) the proper role of parental consent, (2) whether children should be subject to screenings even without any effective treatment, and (3) privacy concern for secondary uses of residual blood samples. So, it has explored ethical and legal challenges surrounding expanded NBS programs, and its proper regulatory frameworks.

Academic Significance and Societal Importance of the Research Achievements

拡大「NBS」の問題群の分析は,医療の発展のための遺伝学的情報の利活用とプライバシーの尊重との相克,真の患者の視点とは何か,などという医療と法のあり方そのものにかかわる,広がりのあるテーマである.文献調査と国内外の専門家へのインタビューなどを織り交ぜて検討を行い,日本での政策変更に伴い近い将来直面しうる課題と弊害を洗い出し,解決策,弊害を洗い出し,解決策の提言をも目指した.単なる海外の制度や実態の紹介を超え,近年日本でも拡大された「NBS」という現実の政策における課題の掘り起こしを含め政策提言を行うことを目指した点が,本研究の意義である.分析結果について,引き続き公表作業に取り組む.

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (8 results)

All 2018 2017 2016 2015 Other

All Journal Article (4 results) (of which Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (2 results) (of which Int'l Joint Research: 1 results) Book (1 results) Remarks (1 results)

  • [Journal Article] リビング・ウィル, DNAR, POLST2018

    • Author(s)
      岩田 太
    • Journal Title

      日本医師会編『医の倫理の基礎知識2018』

      Volume: -

    • Related Report
      2017 Research-status Report
    • Open Access
  • [Journal Article] 合衆国における新生児スクリーニングの法と倫理:制度導入の歴史からの視点2017

    • Author(s)
      岩田 太
    • Journal Title

      上智法学論集 http://digital-archives.sophia.ac.jp/repository/view/repository/20170710009

      Volume: 60巻3-4合併号 Pages: 179-222

    • Related Report
      2017 Research-status Report
    • Open Access
  • [Journal Article] 合衆国における新生児スクリーニングの法と倫理:制度導入の歴史からの視点2017

    • Author(s)
      岩田 太
    • Journal Title

      上智法学論集

      Volume: 60巻3-4合併号 Pages: 175-218

    • Related Report
      2016 Research-status Report
    • Acknowledgement Compliant
  • [Journal Article] 患者が亡くなる原因を究明する:医療事故調査をめぐる日本、合衆国、台湾における法的、政治的論争2015

    • Author(s)
      ロバート・B・レフラー著 / 岩田太 訳
    • Journal Title

      上智法学論集

      Volume: 59巻1号 Pages: 95-112

    • NAID

      120005887409

    • Related Report
      2015 Research-status Report
    • Open Access
  • [Presentation] Law & Ethics on the Japanese Expanded Newborn Screening: Informed Consent and & Public Health Law Perspectives2017

    • Author(s)
      Futoshi IWATA
    • Organizer
      2017 ALSA Annual Conference, at National Chiao Tung University, Hsinchu, Taiwan on December 15-16, 2017.
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 医療事故補償の英仏比較:Simon Taylorの近著(Medical accident liability and redress in English and French law (2015))を参考に2016

    • Author(s)
      岩田 太
    • Organizer
      第154回 比較法・外国法研究会
    • Place of Presentation
      上智大学
    • Year and Date
      2016-01-23
    • Related Report
      2015 Research-status Report
  • [Book] 『臓器移植とそのコーディネーション』 1-6 「医事紛争」を分担執筆2015

    • Author(s)
      岩田太 (寺岡 慧監修)
    • Total Pages
      550
    • Publisher
      日本医学館
    • Related Report
      2015 Research-status Report
  • [Remarks] 岩田太「合衆国における新生児スクリーニングの法と倫理: 制度導入の歴史からの視点」

    • URL

      http://digital-archives.sophia.ac.jp/repository/view/repository/20170710009

    • Related Report
      2018 Annual Research Report

URL: 

Published: 2015-04-16   Modified: 2020-03-30  

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