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End-of-life considerations in the ICU in Japan: ethical and legal perspectives. | LitMetric

End-of-life considerations in the ICU in Japan: ethical and legal perspectives.

J Intensive Care

Department of Critical Care Medicine, Mount Sinai Medical Center, One Gustave L. Levy Place, Box 1264, New York, NY 10029 USA.

Published: December 2014

AI Article Synopsis

  • - In Japan, doctors often continue critical care at the end of life to avoid legal issues, but public debates are shifting perspectives on this practice.
  • - The text compares the development of end-of-life care in Japan with the USA and other Asian countries, highlighting their differences and similarities.
  • - The Japanese Society of Intensive Care Medicine (JSICM) is working on improving end-of-life care systems and advancing palliative care in Japan.

Article Abstract

In Japan, the continuation of critical care at the end of life is a common practice due to the threat of legal action against physicians that may choose a palliative care approach. This is beginning to change due to public debate related to a series of controversial incidents concerning end-of-life care over the last decade. In this review we contrast and compare the history and evolution of end-of-life care in Japan vs. the USA and other Asian countries. Efforts by the Japanese Society of Intensive Care Medicine (JSICM) to establish better end-of-life care systems, as well as future directions in palliative care in Japan, are discussed.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4267582PMC
http://dx.doi.org/10.1186/2052-0492-2-9DOI Listing

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