A Research on the establishment of legal system with regards to self determination right in the fields of Bioethics

该研究利用日本科学振兴协议会（JSPS）的科学研究补助金(C)进行了2年的研究，目的是在生命伦理领域建立自决权的法律制度。在2006年至2007年的研究期间，研究主要涉及日本、美国、加拿大、德国和荷兰的法规、学术意见和法院判决。虽然实行自决权在医疗环境中成为一种趋势，但由于自决权并不总是给患者带来福利，一些人对此表示怀疑。研究成果发表在以下几篇文章中：《医法上的人的形象》，指的是医法上的人的形象，讨论了实际的人与形象在自决权假设上的区别。《医学和法律决策》，介绍了美国、加拿大和欧洲国家在医疗环境中实施的共同决策的理念和法规。大法院在2006年10月27日的案件说明中指出，预防性手术前的信息义务涉及患者知情同意的获得过程。它说，知情同意的概念是重要的，给病人适当的机会来决定他们的治疗方法，以满足他们自己的生活方式。注：《日本关于医生在医疗后的法律解释义务的最新进展》（英文）论述了医疗事故后的告知义务。《医疗事故民事责任的新动向》讨论了日本和国外医疗事故民事责任，《医疗法概论》第2版和第2版补充了一些内容，为新版的修订做准备。

The research conducted with the grant-in Aid for Scientific Research (C) of the Japan Society for the Promotion of Sociences (JSPS) for two years and tried to establish a legal system of self determination rights in the fields of Bioethics. Throughout the research periods between 2006 and 2007, the research mainly addressed on statutes, scholarly opinions, courts judgements in Japan, the United States, Canada, Germany, and the Netherlands. Although to practice self determination rights become a sort of trend in medical setting, some doubts are expressed because self determination rights do not always bring welfare to the patients.Outcomes of the research are published in following articles:Human images on Medical Law, which refer to the human images in medical law and discusses the difference between actual human being and images on the self determination rights supposes.Decision making on medicine and the Law, which introduces the idea and statutes of Shared Decision Making that are practiced in the United States, Canada and European countries in medical setting.Duty of information before the preventive operation, which is the case note of the Supreme Court on October 27, 2006, treats the acquisition process of patient's informed consent. It says it is substantial for the idea of informed consent to give patients proper opportunity to decide their treatments that satisfy their own lifestyle.Note, Recent Developments Concerning a Doctor's Legal Duty of Explanation after Medical Treatment in Japan written in English, treats the duty of information after the medical accidents.In addition to these articles, “Recent movement on Civil Liability on Medical Malpractice" discusses Civil Liability on medical malpractice in Japan and foreign countries, Introduction to Medical Law 2^nd ed added some information in preparation for the revise of new edition.