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The Role of Clinical Ethics Committee and "Physician Order for Life Sustaining Treatment (POLST) in End of Life Medical Treatment

Research Project

Project/Area Number 19602004
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 医療における生命倫理
Research InstitutionKyorin University

Principal Investigator

GAMOU Shinobu  Kyorin University, 保健学部, 教授 (90122308)

Co-Investigator(Kenkyū-buntansha) 柳澤 厚生  杏林大学, 保健学部, 教授 (00137952)
Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2009: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2008: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2007: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords生命倫理 / 終末期医療 / 倫理委員会 / 延命治療 / 尊厳死 / 自律原則 / 医療倫理 / 終末期 / 医療選択 / 自律 / ホスピス / 自己選択
Research Abstract

Decision making as the end of life nears is of crucial importance for both patients and professionals. In the USA, ethical-legal frameworks have been created to facilitate patient choices. The "Physician Orders for Life-Sustaining Treatment" is documents intended to assist patients in EOL decision making. The strong desire for "autonomy" has led citizens, first in Oregon and most recently (November, 2008) in Washington State to pass legislation entitled the "Death with Dignity Act." This author interviewed health care professionals at the University of Washington to gain an understanding of this context.

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (17 results)

All 2010 2009 2008 2007

All Journal Article (9 results) (of which Peer Reviewed: 7 results) Presentation (8 results)

  • [Journal Article] ワシントン州尊厳死法の成立2010

    • Author(s)
      蒲生忍・Thomas R. McCormick
    • Journal Title

      生命倫理 20巻(印刷中)

    • NAID

      110008762348

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 医療倫理と教育:五色カード法による死にゆく過程の疑似体験(Guided Death Experience)2009

    • Author(s)
      下島裕美・蒲生忍
    • Journal Title

      杏林医学会雑誌 40巻

      Pages: 2-7

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 医療倫理と教育:五色カード法による死にゆく過程の疑似体験(Guided Death Experience)2009

    • Author(s)
      下島裕美・蒲生忍
    • Journal Title

      杏林医学会雑誌 40

      Pages: 2-7

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 米国の緩和医療と終末期選択:オレゴン健康科学大学Richardson博士の講演記録2008

    • Author(s)
      萬知子・巌康秀・窪田靖志・下島裕美・Robert Hugo Richardson・蒲生忍
    • Journal Title

      杏林医学会雑誌 39巻

      Pages: 48-59

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 4ボックス法(四分割法)2008

    • Author(s)
      下島裕美・蒲生忍
    • Journal Title

      小児科臨床 61巻

      Pages: 1615-1617

    • Related Report
      2009 Final Research Report
  • [Journal Article] 4ボックス法(四分割法)2008

    • Author(s)
      下島裕美, 蒲生忍
    • Journal Title

      小児科臨床 61

      Pages: 1615-1617

    • Related Report
      2008 Annual Research Report
  • [Journal Article] 米国の緩和医療と終末期選択 : オレゴン健康科学大学Richardson博士の講演記録2008

    • Author(s)
      萬知子, 巌康秀, 窪田靖志, 下島裕美, Robert Hugo Richardson, 蒲生忍
    • Journal Title

      杏林医学会雑誌 39

      Pages: 48-59

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 医療倫理と教育:4ボックス法を用いて2007

    • Author(s)
      下島裕美・蒲生忍
    • Journal Title

      杏林医学会雑誌 38巻

      Pages: 3-9

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 医療倫理と教育:4ボックス法を用いて2007

    • Author(s)
      (下島 裕美)蒲生 忍
    • Journal Title

      杏林医学会雑誌 38

      Pages: 3-9

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] 米国における終末期の医療選択:ワシントン州尊厳死法の成立の前後2009

    • Author(s)
      蒲生忍
    • Organizer
      第21回日本生命倫理学会年次大会
    • Place of Presentation
      横浜市・東洋英和女子大学
    • Year and Date
      2009-11-15
    • Related Report
      2009 Final Research Report
  • [Presentation] 米国における終末期の医療選択:ワシントン州尊厳死法の成立の前後2009

    • Author(s)
      蒲生忍
    • Organizer
      第21回日本生命倫理学会年次大会
    • Place of Presentation
      横浜市
    • Year and Date
      2009-11-15
    • Related Report
      2009 Annual Research Report
  • [Presentation] The Death with Dignity Act in Washington State, USA2009

    • Author(s)
      Shinobu GAMOU
    • Organizer
      第68回日本癌学会総会
    • Place of Presentation
      横浜市・パシフィコ横浜
    • Year and Date
      2009-10-01
    • Related Report
      2009 Final Research Report
  • [Presentation] The Death with Dignity Act in Washington State, USA2009

    • Author(s)
      Shinobu GAMOU
    • Organizer
      第68回日本癌学会総会
    • Place of Presentation
      横浜市
    • Year and Date
      2009-10-01
    • Related Report
      2009 Annual Research Report
  • [Presentation] 倫理委員の研修に関する考察:米国での研修コースに参加して2008

    • Author(s)
      蒲生忍
    • Organizer
      第20回日本生命倫理学会年次大会
    • Place of Presentation
      福岡市・九州大学
    • Year and Date
      2008-11-30
    • Related Report
      2009 Final Research Report
  • [Presentation] 倫理委員の研修に関する考察 : 米国での研修コースに参加して2008

    • Author(s)
      蒲生忍
    • Organizer
      第20回日本生命倫理学会年次大会
    • Place of Presentation
      福岡市・九州大学・医学部
    • Year and Date
      2008-11-30
    • Related Report
      2008 Annual Research Report
  • [Presentation] End of Life Decision Making in the US: from An Asian viewpoint2007

    • Author(s)
      蒲生忍
    • Organizer
      UNESCO-UNU Bioethics Roundtable
    • Place of Presentation
      熊本市・熊本大学
    • Year and Date
      2007-12-17
    • Related Report
      2009 Final Research Report
  • [Presentation] End of Life Decision Making in the US:from An Asian view point2007

    • Author(s)
      蒲生 忍
    • Organizer
      UNESCO-UNU Bioethics Roundtable
    • Place of Presentation
      熊本大学
    • Year and Date
      2007-12-17
    • Related Report
      2007 Annual Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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