Palliative care physicians' attitudes toward patient autonomy and a good death in East Asian countries 

Journal of Pain & Symptom Journal of Pain and Symptom ManagementManagement | Online – 28 March 2015 – A total of 505, 207, and 211 responses were obtained from Japanese, Taiwanese, and Korean physicians, respectively. Japanese (82%) and Taiwanese (93%) physicians were significantly more likely to agree that the patient should be informed first of a serious medical condition than Korean physicians (74%). Moreover, 41% and 49% of Korean and Taiwanese physicians agreed that the family should be told first, respectively; while 7.4% of Japanese physicians agreed. Physicians’ attitudes with respect to patient autonomy were significantly correlated with the country (Japan), male sex, physician specialties of surgery and oncology, longer clinical experience, and physicians having no religion but a specific philosophy. In all 12 components of a good death, there were significant differences by country. Japanese physicians regarded physical comfort and autonomy as significantly more important, and regarded preparation, religion, not being a burden to others, receiving maximum treatment, and dying at home as less important. Taiwanese physicians regarded life completion and being free from tubes and machines as significantly more important. Korean physicians regarded being cognitively intact as significantly more important. http://www.jpsmjournal.com/article/S0885-3924(15)00157-8/abstract

**Professor Tatsuya Morita has kindly made available the full manuscript for APHN members. Please log in here to read the full paper.

An article from Media Watch, compiled and annotated by Barry R. Ashpole (Ontario, Canada). More reports can be found at IPCRC.NET

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