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The present state and problems of "The Code of Medical Ethics" in Japan
1Kobe Gakuin University, Faculty of Humanities and Sciences, Japan.
Insights
Japan
Area of Science:
- Medical Ethics
- Health Policy
- Professional Regulation
Background:
- The Japan Medical Association (JMA) established ethical guidelines for physicians in 2004.
- The effectiveness of these guidelines is questionable due to the current structure of the medical profession in Japan.
Purpose of the Study:
- To analyze the limitations of the current physician professional ethics framework in Japan.
- To explore international models for professional ethics and self-regulation in medicine.
- To propose solutions for strengthening physician ethics and accountability in Japan.
Main Methods:
- Review of the current state of physician professional groups in Japan.
- Comparative analysis of ethical regulations and disciplinary systems in foreign countries.
- Identification of potential solutions for enhancing professional ethics.
Main Results:
- Japanese physicians lack compulsory professional organizations and legally binding ethical regulations.
- There are no autonomous bodies within the medical profession to examine and discipline misconduct.
- Current ethical standards rely heavily on individual physician conscience.
Conclusions:
- Significant structural reforms are needed to establish effective professional ethics for physicians in Japan.
- International best practices offer valuable insights for developing a more robust ethical framework.
- Implementing autonomous disciplinary mechanisms and legally recognized ethical standards is crucial.
Abstract:
A code of professional ethics for the physician in Japan is being prepared caused by the progress of the medical conditions. The Japan Medical Association (JMA) enacted "the guideline on professional ethics for the physician" in 2004. However, as for the substantial effect of this guideline, it may not be able to be expected. The present state of the professional group of the physician in Japan can be shown as that reason. (1) First, there is not any physician's group of the compulsory admission, but only professional ability profit group of the voluntary admission in Japan. (2) There are not ethical regulations of the profession which has legal effect to face in the physician's misconduct in Japan. (3) In addition, there is not any autonomous organizations inside the professional group which examine and impose disciplinary punishment to the physician who went through misconduct in Japan. After all, the ethics in the physician would be left to each physician's conscience. Then, how should we do to solve such various fundamental problems? In this paper, the situation in various foreign countries is surveyed as an indication of the Japanese medical profession's future conduct. Moreover, I present some solutions to the various problems in fulfilling the professional ethics for the physician in Japan.
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