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3 Types Self-Determination on Withdrawing or Withholding of Life-Sustaining Medical Treatment

Research Project

Project/Area Number 18K12668
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 05050:Criminal law-related
Research InstitutionJapan Coast Guard Academy (Center for Research in International Marine Policy)

Principal Investigator

Shintani Kazuaki  海上保安大学校(国際海洋政策研究センター), 国際海洋政策研究センター, 准教授 (40532677)

Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2020: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2019: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2018: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Keywords尊厳死 / 終末期医療 / 治療中止 / 医事刑法 / 刑法 / 刑事法学
Outline of Final Research Achievements

On Kawasaki Kyodo Hospital Case, Tokyo-High Court ruled "The interpretation on self-determination itself doesn't serve the solution on justification of withdrawing or withholding of life-sustaining medical treatment." However, this study provides a perspective that focusing on self-determination is still important for treating this problem. Referring the legal system of United States, POLST, living-will and durable power of authority for Health-Care, and substituted judgement by the standard of clear and convincing, this study suggests the possibility of patient's self-determination for the solution of justification of withholding or withdrawing of life-sustaining medical treatment.

Academic Significance and Societal Importance of the Research Achievements

自殺関与や同意殺人を禁止している刑法202条の適法性を論じるために、患者の自己決定権を重視するアプローチをとったうえで、治療中止を正当化するアプローチを行った。これは近年、アドバンス・ケア・プランニングの重要性が認識されていること、および各種ガイドラインにおける諸規定とも軌を一にするものであり、この点で社会的意義を有すると考えられる。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (2 results)

All 2022 2019

All Presentation (1 results) (of which Int'l Joint Research: 1 results) Book (1 results)

  • [Presentation] Current Legal Situation and Future Perspective on Withholding or Withdrawing Life-Sustaining Medical Treatment in Japan2019

    • Author(s)
      新谷一朗
    • Organizer
      World Association for Medical Law
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Book] 高橋則夫先生古稀祝賀論文集 下巻2022

    • Author(s)
      山口 厚、井田 良、佐伯 仁志、松原 芳博、仲道 祐樹
    • Total Pages
      1038
    • Publisher
      成文堂
    • ISBN
      9784792353537
    • Related Report
      2021 Annual Research Report

URL: 

Published: 2018-04-23   Modified: 2023-01-30  

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