Ethical Issues in Preventive Medicine
Grant-in-Aid for Co-operative Research (A)
|Allocation Type||Single-year Grants|
|Research Institution||St. Luke's College of Nursing|
YAMAMOTO Shun-ichi St. Luke's College of Nursing, Professor, 看護学部, 教授 (00009870)
TAJIMA Kazuo Aichi Cancer Center Research Institute, Chief of Department, 部長 (30150212)
SHIMIZU Hiroyuki Gifu University, School of Medicine, Professor, 医学部, 教授 (90073139)
KAWACHI Takashi Health Center of Toda and Warabi in Saitama-ken, Director, 蔵保健所, 所長 (80076968)
ANZAI Sadamu Showa University, School of Medicine, Professor, 医学部, 教授 (30150642)
INABA Yutaka Juntendo University School of Medicine, Professor, 医学部, 教授 (30010094)
|Project Period (FY)
1988 – 1990
Completed(Fiscal Year 1990)
|Budget Amount *help
¥2,700,000 (Direct Cost : ¥2,700,000)
Fiscal Year 1990 : ¥800,000 (Direct Cost : ¥800,000)
Fiscal Year 1989 : ¥900,000 (Direct Cost : ¥900,000)
Fiscal Year 1988 : ¥1,000,000 (Direct Cost : ¥1,000,000)
|Keywords||Ethical Issues / Preventive Medicine / Epidemiology / Research / Practice / Informed Consent / Confidentiality / 予防活動 / 医学教育 / 健康診断 / 予防接種 / がん予防|
Recently with the progress of highly sophisticated medical technology, new ethical problems have come about in clinical medicine as well as in basic medicine. However, in preventive medicine ethical issues have been discussed less often. In this field of medicine, the problems are rather more social than personal anal so there used to be many relevant laws, acts or regulations enacted by states. However this does not mean that ethical consideration should be ignored in this field, as all laws are based on definite ethical grounds.
In this research we have discussed ethical issues as follows :
(1) historical perspectives of ethical issues in Japanese health administration
(2) ethics in the routine activity of health centers
(3) differences in stand points between clinical and preventive medicine
(4) ethical issues in epidemiological research (informed consent, intervention study confidentiality etc.)
(5) ethical issues from the view point of human rights
We carried out a questionnaire survey on ethical consciousness by mail among the professors of preventive medicine throughout the country of Japan. About 80% (or150) answers were obtained. The results are shown in the following.
(1) About 40% of them had experienced being forced to abandon a planned study before commencement because of disagreement among the representatives of the study population.
(2) About 30% of them had experience personal protest or complaint from some of the subjects after the study was started.
(3) About 53% of them had experience refusal of personal approach by some of the subjects when they tried to start an interview or to sample specimens.
(4) About 54% of them had experience refusal when they tried to obtain personal informations kept in public institutions.
As the interests on ethical issues in preventive medicine has been increasing internationally, further study of this subject is necessary in Japan.
Research Products (11results)