Journal article

Patients' preferences for involvement in treatment decision making in Japan.

Miho Sekimoto, Atsushi Asai, Motoki Ohnishi, Etsuyo Nishigaki, Tsuguya Fukui, Takuro Shimbo, Yuichi Imanaka

BMC Fam Pract | Published : 2004

Abstract

BACKGROUND: A number of previous studies have suggested that the Japanese have few opportunities to participate in medical decision-making, as a result both of entrenched physician paternalism and national characteristics of dependency and passivity. The hypothesis that Japanese patients would wish to participate in treatment decision-making if adequate information were provided, and the decision to be made was clearly identified, was tested by interview survey. METHODS: The subjects were diabetic patients at a single outpatient clinic in Kyoto. One of three case study vignettes (pneumonia, gangrene or cancer) was randomly assigned to each subject and, employing face-to-face interviews, the ..

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