Japanese Bioethical Challenges Concerning Self-Management Support For Patients With Chronic Conditions: An Analysis of Quality of Life & Autonomy
Eubios Journal of Asian and International Bioethics 26 (5):175-179 (2016)
AbstractPrevention and control of chronic conditions are global healthcare challenges. Patient self-management has been deemed essential for treating chronic conditions and improving the quality of patient life. However, the current Japanese system for supporting patient self-management of chronic conditions has received little ethical assessment. The first aim of this article is to provide an ethical analysis of current Japanese support for self-management of chronic conditions with reference to international discussions concerning self-management, developed mainly in western societies such as Europe, the United States. The second aim is to clarify the challenges faced by Japanese biomedical ethics concerning selfmanagement support by focusing on the ethical concepts of quality of life and autonomy. This article identifies the following two challenges:  dispelling conceptual confusion concerning basic ethical concepts such as quality of life and autonomy, and  exploring the conceptual relationship between these ethical concepts, as they relate to providing support for chronically ill patients. By addressing these challenges and constructing a theoretical basis for radical change in support mechanisms, bioethics in Japan could contribute to efforts to construct a comprehensive support system for patients with chronic conditions, which organize variety kinds of supports, such as medical professional supports, supports from patient’s groups, local community supports, familial supports, support in patients’ workplace, and supports for patients’ family members as well.
Added to PP
Historical graph of downloads
References found in this work
No references found.
Citations of this work
No citations found.
Similar books and articles
What Deserves Our Respect? Reexamination of Respect for Autonomy in the Context of the Management of Chronic Conditions.Aya Enzo, Taketoshi Okita & Atsushi Asai - 2019 - Medicine, Health Care and Philosophy 22 (1):85-94.
Patient Autonomy for the Management of Chronic Conditions: A Two-Component Re-Conceptualization.Aanand D. Naik, Carmel B. Dyer, Mark E. Kunik & Laurence B. McCullough - 2009 - American Journal of Bioethics 9 (2):23 – 30.
Response to Commentaries on “Patient Autonomy for the Management of Chronic Conditions: A Two-Component Re-Conceptualization”.Aanand D. Naik, Carmel B. Dyer, Mark E. Kunik & Laurence B. McCullough - 2009 - American Journal of Bioethics 9 (2):W3 – W5.
Patient Autonomy and Quality of Care in Telehealthcare.Giovanni Rubeis, Maximilian Schochow & Florian Steger - 2018 - Science and Engineering Ethics 24 (1):93-107.
Family Support and Quality of Life of Children with Kidney Chronic Disease.Magdalena Iorga & Laszlo-Zoltan Sztankovszky - 2015 - Postmodern Openings 6 (1):55-64.
Ethics of Patient Activation: Exploring its Relation to Personal Responsibility, Autonomy and Health Disparities.Sophia H. Gibert, David DeGrazia & Marion Danis - 2017 - Journal of Medical Ethics 43 (10):670-675.
The Ethics of Self-Management Preparation for Chronic Illness.Barbara K. Redman - 2005 - Nursing Ethics 12 (4):360-369.
Identifying Health‐Related Quality of Life (HRQL) Domains for Multiple Chronic Conditions (Diabetes, Hypertension and Dyslipidemia): Patient and Provider Perspectives.Mark Bounthavong & Anandi V. Law - 2008 - Journal of Evaluation in Clinical Practice 14 (6):1002-1011.
When Adolescents "Mismanage" Their Chronic Medical Conditions: An Ethical Exploration.Insoo Hyun - 2000 - Kennedy Institute of Ethics Journal 10 (2):147-163.
Chronic Patients’ Autonomy in Iranian Hospitals: A Qualitative Study.Hossein Ebrahimi, Efat Sadeghian, Naeimeh Seyedfatemi & Eesa Mohammadi - 2017 - Ethics and Behavior 27 (1):74-87.
Managing One's Body Using Self-Management Techniques: Practicing Autonomy.Dick Willems - 2000 - Theoretical Medicine and Bioethics 21 (1):23-38.
Why Health and Social Care Support for People with Long-Term Conditions Should Be Oriented Towards Enabling Them to Live Well.Vikki A. Entwistle, Alan Cribb & John Owens - 2018 - Health Care Analysis 26 (1):48-65.
Matters to address prior to introducing new life support technology in Japan: three serious ethical concerns related to the use of left ventricular assist devices as destination therapy and suggested policies to deal with them.Atsushi Asai, Sakiko Masaki, Taketoshi Okita, Aya Enzo & Yasuhiro Kadooka - 2018 - BMC Medical Ethics 19 (1):12.
Self-Management as Management of Self – Contributions From Psychosomatic Medicine and Psychotherapy.Sattel Heribert & Henningsen Peter - 2017 - Philosophy, Psychiatry, and Psychology 24 (2):115-126.