The effectiveness of acceptance for patients who do not have the ability to agree to medical treatment and services, or who have only partial ability to agree.

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The right to self-determination that allows each patient to make decisions regarding quality of life based one's own free will is an "individual right" that should be esteemed to the maximum. In Japan, however, specialists are still not in agreement on this right and the development of law in this area remains slow. One particular problem is what documentation is legally necessary for acceptance in order to secure a patient' wishes when that patient does not have the ability to agree to medical treatment and services, or has only partial ability to agree. This research explores what approach might be best for the development of legal systems in the future concerning this problem of patient acceptance.