医学哲学 医学倫理
Online ISSN : 2433-1821
Print ISSN : 0289-6427
自己決定権とは何か : 患者の知る権利:情報は患者のものか家族のものか
宮脇 美保子
著者情報
ジャーナル フリー

1999 年 17 巻 p. 77-84

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The purpose of this study is to describe health professionals' involvement in patient-centered medical practice and to suggest solutions to various problems. In today's advanced medical society, the health profession is facing issues in patient-centered medical practice. However, in cases of the progressive cancer, the physician usually tells the patients' family first about the patients' diagnosis and prognosis prior to informing the patient. This is a problem because in these cases it is truly an infringement on the rights of the patient to know his or her condition. All of the patients have to be respected as individuals. The problem is often assumed that the idea of informed consent came from America and therefore there is a cultural difference between Japan and the West. In Japan, fundamental human rights are guaranteed under the Constitution. In reality, there has traditionally been a lack of individualism and a deficiency in concern about human right among the health profession. In recent years, as things are changing so rapidly, patients are growing in recognition of their rights and the general public has a fairly wide knowledge of medicine. There is increasing dissatisfaction within medical care that ignores informed consent. Who does the patient's life belong to? The patient needs to know about his or her health information first and then to decide if whom how to inform family members of his or her medical condition. I believe that we must respect the autonomy of every individual. That respect includes health professionals protecting the patient's right of self-determination.
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© 1999 日本医学哲学・倫理学会
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