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Research on ethics consultation system and ethics professional nurturing in Japanese clinical settings

Research Project

Project/Area Number 15K08538
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionTohoku University

Principal Investigator

Asai Atsushi  東北大学, 医学系研究科, 教授 (80283612)

Co-Investigator(Kenkyū-buntansha) 三浦 靖彦  東京慈恵会医科大学, 医学部, 講師 (40181854)
尾藤 誠司  独立行政法人国立病院機構(東京医療センター臨床研究センター), 臨床疫学研究室, 室長 (60373437)
板井 孝一郎  宮崎大学, 医学部, 教授 (70347053)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywordsclinical ethics / ethics consultation / ethics consultant / core competency / barriers / Japan / ethics committee / surrogate decision / 倫理コンサルテーション / 臨床倫理 / セカンド・オピニオン / 臨床倫理サポート / 代理意思決定 / 情報発信 / 質的分析 / 人生の最終段階 / ネットワーク / 倫理的提案 / 社会事業 / データベース
Outline of Final Research Achievements

The present research project could produce five significant results. Firstly, we set up a hospital ethics committee consultant liaison conference and could establish a network where experts involved in clinical ethics consultation gather, and we held the conference four times. Secondly, we clarified issues related to our ethical consultation and future research topics. Third, we established a process of second opinion small group team ethics consultation and made ethical proposals for two consultation requests. Fourth, we conducted literature research on core competency required for clinical ethics consultants and clarified its essence. Finally, we were able to develop the results of this research as an empirical research on ethical issues involved in surrogate decision making in Japanese clinical settings.

Report

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

    (20 results)

All 2018 2017 2016 2015

All Journal Article (15 results) (of which Peer Reviewed: 12 results,  Open Access: 11 results) Presentation (2 results) (of which Int'l Joint Research: 1 results) Book (3 results)

  • [Journal Article] Contemporary ethical implications of Shusaku Endo’s The Sea and Poison2018

    • Author(s)
      Atsushi Asai, Taketoshi Okita, Aya enzo, Yasuhiro Kadooka
    • Journal Title

      Ritsumeikan Journal of Asia Pacific Studies

      Volume: 36 Pages: 1-8

    • NAID

      120006469376

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 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 them2018

    • Author(s)
      Atsushi Asai, Taketoshi Okita, Aya enzo, Yasuhiro Kadooka
    • Journal Title

      BMC Medical Ethics

      Volume: 19 Issue: 1 Pages: 12-12

    • DOI

      10.1186/s12910-018-0251-z

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 医療の倫理について考える2018

    • Author(s)
      浅井 篤
    • Journal Title

      宮城県医師会報

      Volume: 865 Pages: 110-4

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Factors influencing the decision making of elderly acute leukemia patients in Japan regarding their treatment2017

    • Author(s)
      Miki Fukuyama, Atsushi Asai, Taeko Hanada, Kenji Sakai, and Yasuhiro Kadooka
    • Journal Title

      Eubios Journal of Asain and International Bioethics

      Volume: 27 Pages: 106-113

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A critical discussion of arguments against the introduction of a two-tier healthcare system in Japan2017

    • Author(s)
      Atsushi Asai, Taketoshi Okita,Masashi Tanaka, Yasuhiro Kadooka.
    • Journal Title

      Asian Bioethics Review (ABR)

      Volume: 9: Issue: 3 Pages: 171-171

    • DOI

      10.1007/s41649-017-0023-y

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Misuse of emergent healthcare in contemporary Japan.2017

    • Author(s)
      Yasuhiro Kadooka; Atsushi Asai, Aya Enzo, Taketoshi Okita
    • Journal Title

      BMC Emergency Medicine

      Volume: 17 Issue: 1 Pages: 23-23

    • DOI

      10.1186/s12873-017-0135-4

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Conflicting messages concerning current strategies against research misconduct in Japan: A call for ethical spontaneity.2016

    • Author(s)
      Atsushi Asai, Taketoshi Okita, Aya Enzo
    • Journal Title

      Journal of Medical Ethics

      Volume: 42 Issue: 8 Pages: 524-27

    • DOI

      10.1136/medethics-2015-103318

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ethical Obligations in the Face of Dilemmas Concerning Patient Privacy and Public Interests: The Sasebo Schoolgirl Murder Case2016

    • Author(s)
      Yasuhiro Kadooka, Taketoshi Okita, Atsushi Asai
    • Journal Title

      Bioethics

      Volume: 未定 Issue: 7 Pages: 1-8

    • DOI

      10.1111/bioe.12249

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Should a Brain-dead pregnant woman be provided somatic support to save the life of the fetus?2016

    • Author(s)
      Sakiko Masaki, Hiroko Ishimoto, Yasuhiro Kadooka, Atsushi Asai
    • Journal Title

      Eubios Journal of Asian and International Bioethics

      Volume: 26 Pages: 130-137

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Reexamination of the concept of ‘Health promotion’ through a critique of the Japanese health promotion policy2016

    • Author(s)
      Okita T, Enzo A, Asai A.
    • Journal Title

      Public Health Ethics

      Volume: phw043 Issue: 3 Pages: 1-9

    • DOI

      10.1093/phe/phw043

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Japanese Bioethical Challenges Concerning Self Management Support For Patients With Chronic Conditions: An Analysis of Quality of Life & Autonomy2016

    • Author(s)
      Aya Enzo, Takehtoshi Okita, Atsushi Asai
    • Journal Title

      Eubios Journal of Asian and International Bioethics

      Volume: 26 Pages: 175-179

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Conflicting messages concerning current strategies against research misconduct in Japan: A call for ethical spontaneity2016

    • Author(s)
      Atsushi Asai, Taketoshi Okita, Aya Enzo
    • Journal Title

      Journal of Medical Ethics

      Volume: 未定

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 臨床試験に必要な倫理2016

    • Author(s)
      浅井篤
    • Journal Title

      日本外科学会雑誌

      Volume: 117 Pages: 136-140

    • Related Report
      2015 Research-status Report
  • [Journal Article] 臨床倫理ケースレポート第一回2016

    • Author(s)
      浅井 篤、圓増文、大北全俊
    • Journal Title

      Medical Forum CHUGAI

      Volume: 20 Pages: 4-7

    • Related Report
      2015 Research-status Report
  • [Journal Article] Should an Incapacitated Patient’s Refusal of Treatment Be Respected? Discussion of a Hypothetical Case2015

    • Author(s)
      Hiroko Ishimoto, Sakiko Masaki, Atsushi Asai
    • Journal Title

      Eubios Journal of Asian and International Bioethics

      Volume: 25 Pages: 112-9

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] An analysis to explore Japanese way of clinical ethics consultation2017

    • Author(s)
      Yasuhiro Kadooka, Taketoshi Okita, Masashi Tanaka, Atsushi Asai
    • Organizer
      Eleventh Kumamoto University Bioethics Roundtable
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 厚労省「プロセスガイドライン」の臨床実践のためのコンテンツ2017

    • Author(s)
      尾藤誠司 門岡康弘 浅井篤 三浦靖彦 木澤義之
    • Organizer
      日本生命倫理学会
    • Related Report
      2017 Annual Research Report
  • [Book] 倫理的に考える医療の論点2017

    • Author(s)
      浅井篤
    • Total Pages
      16
    • Publisher
      日本看護協会出版会
    • Related Report
      2017 Annual Research Report
  • [Book] Religious and Non-Religious Perspectives on Abortion2016

    • Author(s)
      Atsushi Asai, Hiroko Ishimoto, Sakiko Masaki, Yasuhiro Kadooka.
    • Publisher
      University of Notre Dame Press
    • Related Report
      2015 Research-status Report
  • [Book] 少子超高齢社会の「幸福」と「正義」2016

    • Author(s)
      浅井篤
    • Total Pages
      212
    • Publisher
      日本看護協会出版会
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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