https://scholars.lib.ntu.edu.tw/handle/123456789/577751
標題: | Advance care planning in Asian culture | 作者: | SHAO-YI CHENG Lin C.-P. Chan H.Y.-L. Martina D. Mori M. Kim S.-H. Ng R. |
關鍵字: | advance care planning; autonomy; palliative care | 公開日期: | 2020 | 出版社: | Oxford University Press | 卷: | 50 | 期: | 9 | 起(迄)頁: | 976-989 | 來源出版物: | Japanese Journal of Clinical Oncology | 摘要: | Ageing has been recognized as one of the most critically important health-care issues worldwide. It is relevant to Asia, where the increasing number of older populations has drawn attention to the paramount need for health-care investment, particularly in end-of-life care. The advocacy of advance care planning is a mean to honor patient autonomy. Since most East Asian countries are influenced by Confucianism and the concept of 'filial piety,' patient autonomy is consequently subordinate to family values and physician authority. The dominance from family members and physicians during a patient's end-of-life decision-making is recognized as a cultural feature in Asia. Physicians often disclose the patient's poor prognosis and corresponding treatment options to the male, family member rather to the patient him/herself. In order to address this ethical and practical dilemma, the concept of 'relational autonomy' and the collectivism paradigm might be ideally used to assist Asian people, especially older adults, to share their preferences on future care and decision-making on certain clinical situations with their families and important others. In this review article, we invited experts in end-of-life care from Hong Kong, Indonesia, Japan, South Korea, Singapore and Taiwan to briefly report the current status of advance care planning in each country from policy, legal and clinical perspectives. According to the Asian experiences, we have seen different models of advance care planning implementation. The Asian Delphi Taskforce for advance care planning is currently undertaken by six Asian countries and a more detailed, culturally sensitive whitepaper will be published in the near future. ? 2020 The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85090507524&doi=10.1093%2fjjco%2fhyaa131&partnerID=40&md5=ddba10f053d13c54312425be0b6face7 https://scholars.lib.ntu.edu.tw/handle/123456789/577751 |
ISSN: | 0368-2811 | DOI: | 10.1093/jjco/hyaa131 | SDG/關鍵字: | advance care planning; aged; Asian; Confucianism; decision making; Hong Kong; human; Indonesia; Japan; male; palliative therapy; patient autonomy; physician; prognosis; relational autonomy; review; Singapore; South Korea; Taiwan; advance care planning; aging; Asian continental ancestry group; female; terminal care; Advance Care Planning; Aged; Aging; Asian Continental Ancestry Group; Female; Humans; Male; Terminal Care |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。