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Reevaluating the Importance of Informed Consent in Japan.

Tatsuma Serge Yanagimoto1, Rintaro Imafuku2, Takuya Saiki2

  • 1General Surgery, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota, USA.

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|November 12, 2025
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Summary

Informed consent in Japan faces challenges due to cultural nuances and translation issues. Integrating medical ethics education and periodic training is crucial for effective patient communication and global standard alignment.

Keywords:
Japanese medical ethicscultural nuancesforeign patientinformed consentpatient autonomy

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Area of Science:

  • Medical Ethics
  • International Healthcare Standards
  • Patient-Provider Communication

Background:

  • Informed consent is increasingly significant in Japan's globalizing medical field.
  • Cultural nuances and linguistic challenges, such as translating "informed consent" as "explanation and agreement/consent," impede effective patient-provider communication.
  • Aligning with international medical ethics standards and addressing the needs of foreign patients necessitate a reevaluation of informed consent.

Purpose of the Study:

  • To analyze the challenges in implementing informed consent in Japan.
  • To propose strategies for improving informed consent practices in the Japanese medical context.
  • To enhance patient-provider communication and align with global ethical standards.

Main Methods:

  • Literature review on informed consent in Japan and international standards.
  • Analysis of linguistic and cultural factors affecting informed consent interpretation.
  • Proposal of a two-pronged educational approach for physicians.

Main Results:

  • The translation and cultural context create significant hurdles for informed consent in Japan.
  • Existing practices may not fully align with evolving international medical ethics.
  • A need exists for enhanced physician education and training on informed consent.

Conclusions:

  • A comprehensive reassessment of informed consent's meaning and application is urgently required in Japan.
  • Integrating informed consent into medical school curricula is essential for future physicians.
  • Periodic training programs for practicing physicians are necessary to maintain updated global standards and best practices.