2004
DOI: 10.1186/1471-2296-5-1
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Patients' preferences for involvement in treatment decision making in Japan

Abstract: BackgroundA 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.MethodsThe subjects were diabetic patients at a sin… Show more

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Cited by 132 publications
(127 citation statements)
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“…The quality of "autonomy" was low that consistent with findings of Matthews and colleagues [18]. Also, in the study by Sekimoto and colleagues [20], only 7-16% of respondents preferred active role for participation in decision-making but the majority of them considered own opinions to be most important in the final decision-making. However, the finding of the current study does not consistent with findings of Stenner and colleagues [8] and Hanberger and colleagues [11].…”
Section: Discussionsupporting
confidence: 80%
“…The quality of "autonomy" was low that consistent with findings of Matthews and colleagues [18]. Also, in the study by Sekimoto and colleagues [20], only 7-16% of respondents preferred active role for participation in decision-making but the majority of them considered own opinions to be most important in the final decision-making. However, the finding of the current study does not consistent with findings of Stenner and colleagues [8] and Hanberger and colleagues [11].…”
Section: Discussionsupporting
confidence: 80%
“…In Japan, it is culturally characteristic for the patient to be passive [23,24] and to rely on the physician rather than to act independently [25]. Additionally, lower subjective burden of medical cost for subjects in Tokyo would also support patients' subjective acceptance for multiple medications.…”
Section: Discussionmentioning
confidence: 99%
“…advanced cancer) compared to milder or more short-term illnesses/injuries (e.g. ear infection) [11,49].…”
Section: Concept 5: Many Factors May Affect the Form And Extent Of Famentioning
confidence: 99%