Discussions on Present Japanese Psychocultural-Social Tendencies as Obstacles to Clinical Shared Decision-Making in Japan.
Discussions on Present Japanese Psychocultural-Social Tendencies as Obstacles to Clinical Shared Decision-Making in Japan.
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DOI：
10.1007/s41649-021-00201-2
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发表时间：
2022-04
影响因子：
2.9
通讯作者：
Bito S
中科院分区：
文献类型：
--
作者：
Asai A;Okita T;Bito S
在日本，医疗和患者之间在患者的最佳利益方面存在着明显的差距，很难做出适当的决策。在日本临床环境中，决策被认为是从多个潜在选项中做出选择的行为。由于许多伦理困境仍然存在，建立一个适当的决策过程是现代日本医疗保健的一项紧迫任务。本文从心理文化社会的角度探讨了现代日本临床环境中与共同决策（SDM）相关的伦理问题，并讨论了当今日本理想的决策过程。具体而言，我们讨论了如何五个心理文化社会倾向-“surprise（Sontaku）”，“自我约束（Jishuku）”，“空气（气氛或情绪，Kuuki）”，“同伴压力（或调谐压力，Docho-Atsuryoku）”，和“社区（Seken）"-这往往被称为当今日本人的特点，可能会影响SDM在日本临床环境的理想做法。我们的结论是，医疗保健专业人员必须意识到上述日本心理文化社会倾向对SDM的实施可能产生的不利影响，并试图促进自主决策，从而使患者能够做出治疗选择，充分反映他们的个人和个人的生活，经验，目标，偏好和价值观的看法。
In Japan, where a prominent gap exists in what is considered a patient’s best interest between the medical and patient sides, appropriate decision-making can be difficult to achieve. In Japanese clinical settings, decision-making is considered an act of choice-making from multiple potential options. With many ethical dilemmas still remaining, establishing an appropriate decision-making process is an urgent task in modern Japanese healthcare. This paper examines ethical issues related to shared decision-making (SDM) in clinical settings in modern Japan from the psychocultural-social perspective and discusses the ideal decision-making process in present Japan. Specifically, we discuss how five psychocultural-social tendencies – “surmise (Sontaku),” “self-restraint (Jishuku),” “air (atmosphere or mood, Kuuki),” “peer pressure (or tuning pressure, Docho-Atsuryoku),” and “community (Seken)”—which have often been referred to as characteristics of present-day Japanese people, may affect the ideal practice of SDM in Japanese clinical settings. We conclude that health care professionals must be aware of the possible adverse effects of the above Japanese psychocultural-social tendencies on the implementation of SDM and attempt to promote autonomous decision-making, thereby allowing patients to make treatment choices that sufficiently reflect their individual and personal views of life, experiences, goals, preferences, and values.
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影响因子：
3.7
作者：
Goto Y;Miura H;Son D;Scholl I;Kriston L;Härter M;Sato K;Kusaba T;Arai H
通讯作者：
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通讯作者：
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通讯作者：
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