終末医療において生命を短縮させる処置に関する態度の決定要因 : 判断のモデルと個人属性 (髙橋隆雄教授定年退職記念号)  [in Japanese] Determinants of decision making about medical procedures leading to shortening of life in the end-of-life medical care : Models of judgements and personal attributes  [in Japanese]

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Abstract

Although it has been intensively debated whether withdrawal and withholding of\life-saving treatment and euthanasia in cases of terminal care should be permitted,\conclusion has not been reached among ethicists, lawyers, and medical\practitioners. Rates of endorsements of these medical procedures vary across\different countries and different professions. Attendants of lectures and conferences were solicited to participate in this questionnaire survey. They were provided with 12 scenarios of a terminally ill person with three medical procedures (withholding, withdrawal, and euthanasia) and two types (agree/disagree) of endorsement of the patient and the family member and were asked to rate agreement of the commencement of the procedure. Different models of decision making were compared in terms of confirmatory factor analysis. The best fit index was obtained in the model in that both patient's and family member's desires as well as natural death (i.e., withholding and withdrawal) and euthanasia contributed to the decision making. Decision about these procedures were predicted by the participants'gender, occupation (medical profession vs. others), personality, utilitarian attitudes, and past experience of exposure to death of a close person.

Journal

  • 先端倫理研究 : 熊本大学倫理学研究室紀要

    先端倫理研究 : 熊本大学倫理学研究室紀要 (8), 53-89, 2014-03

    Kumamoto University

Keywords

Codes

  • NII Article ID (NAID)
    110009687680
  • NII NACSIS-CAT ID (NCID)
    AA12213591
  • Text Lang
    JPN
  • Article Type
    departmental bulletin paper
  • Journal Type
    大学紀要
  • ISSN
    1880-7879
  • NDL Article ID
    025393405
  • NDL Call No.
    Z71-R273
  • Data Source
    NDL  NII-ELS  IR 
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