Titre :
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Cancer disclosure in Japan : Historical comparisons, current practices. (1998)
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Auteurs :
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T.S. ELWYN ;
M.D. FETTERS ;
D.W. GORENFLO ;
T. TSUDA ;
Department of Primary Care Medicine. Kawasaki Medical School. Kawasaki. JPN
|
Type de document :
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Article
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Dans :
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Social science and medicine (vol. 46, n° 9, 1998)
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Pagination :
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1151-1163
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Langues:
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Anglais
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Mots-clés :
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Médecin
;
Profession santé
;
Homme
;
Diagnostic
;
Cancer
;
Consentement soins
;
Attitude
;
Evolution
;
Japon
;
Asie
|
Résumé :
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[BDSP. Notice produite par INIST 7flR0xiJ. Diffusion soumise à autorisation]. Although Japanese physicians historically have not disclosed cancer diagnoses to patients, pressures upon physicians to disclose have increased in recent years. We questioned physicians practicing at a private medical hospital in rural Japan about their current approach to cancer disclosure. We compared their responses with responses of physicians in a 1991 study conducted in Japan, and two studies conducted in the United States, in 1961 and in 1977. Seventy-seven clinically active physicians with experience treating cancer patients responded (73% response rate). Forty percent of respondents reported usually telling patients of a cancer diagnosis, over three times more than the 13% who reported such a policy in Japan in 1991. Physicians were significantly more likely (P
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