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トップ  >  English  >  Staff  >  Akira Akabayashi


Akira Akabayashi photoAkira Akabayashi Dr. Akabayashi, MD, PhD, is Professor in the Department of Biomedical Ethics at the University of Tokyo Graduate School of Medicine and Director of UT-CBEL (University of Tokyo Center of Biomedical Ethics and Law). His research interests include cross-cultural bioethics, informed consent, end-of-life issues, research ethics, bioethics policy, and clinical ethics. Professor Akabayashi serves as Chair of the Ethics Committee at the University of Tokyo Faculty of Medicine. He is also a member of several government bioethics policy committees in Japan. He is an associate editor for BMC Medical Ethics, a consulting editor for Asian Bioethics Review, on the editorial boards of the Journal of Medical Ethics and Cambridge Quarterly of Healthcare Ethics, and editor-in-chief of the Journal of the Japan Association for Bioethics. He is also a Fellow of The Hastings Center.


Education & Employment:

  • 1983 M.D. in Medicine, The University of Tokyo

  • 1990 Ph.D. in Medicine, The University of Tokyo

  • 1993 Visiting scholar at The Hastings Center

  • 1999 Lecturer, Graduate School of Medicine, The University of Tokyo

  • 2000 Professor, Department of Biomedical Ethics, School of Public Health, Kyoto University

  • 2003 Professor, Department of Biomedical Ethics, School of Public Health, Graduate School of Medicine, The University of Tokyo


Corresponding address:

Dr. Akira Akabayashi
Department of Biomedical Ethics
University of Tokyo Graduate School of Medicine
7-3-1 Hongo, Bunkyo-ku
Tokyo 113-0033
FAX +81-35841-3319

Major Publications:

  • Akabayashi, A., Morioka, M. Research on dead persons. Ann. Intern. Med. 111 (1): 89, 1989.

  • Akabayashi, A., Morioka, M. Ethical issues raised by medical use of brain-dead bodies in the 1990s. BioLaw II (48): S531-538, 1991.

  • Akabayashi, A. Financing health care - A Japanese perspective. Health Care Analysis 3: 123-125, 1995.

  • Akabayashi, A. Open letter to those diet members responsible for legislating Japanese organ transplantation. Health Care Analysis 3: 358-360, 1995.

  • Sass, H., Bonkovsky, F., Akabayashi, A., Kielstein, R., Olick, R.S. Advance Health Care Documents in Multicultural Perspective. Ann. Rev. of Law and Ethics. Band 4, 465-508, 1996.

  • Akabayashi, A. Finally done -- Japan's final decision on organ transplantation. The Hastings Center Report Sep-Oct, 47, 1997.
    Akabayashi, A. Japan's parliament passes brain-death law. The Lancet 349: 9069, 1895, 1997.

  • Voltz R., Akabayashi, A., Reese, C., Ohi, G., Saas, H.M. (1997) Organization and patients' perception of palliative care: A crosscultural comparison. Palliative Medicine 11: 351-357, 1997.

  • Akabayashi, A. The concept of happiness in oriental thought and its significance in clinical medicine. In Japanese and Western Bioethics, Philosophy & Medicine Series 54, Kluwer Academic Publishers, Netherlands, pp.161-164, 1997.

  • Akabayashi, A. Questions raised over release of side-effects data in Japan. The Lancet 350: 9071, 124, 1997.

  • Akabayashi, A. Female circumcision - A health issue or a human rights issue. Health Care Analysis 6 (1): 55-58, 1998.

  • Voltz R., Akabayashi, A., Reese, C., Ohi, G., Sass, H.M. End-of-life decisions and advance directives in palliative care: A crosscultural survey of patients and health care professionals. Journal of Pain and Symptom Management 16: 153-162, 1998.

  • Akabayashi, A., Kai, I., Takemura, H., Okazaki, H. Truth telling in the case of a pessimistic diagnosis in Japan. The Lancet 354; 1263, 1999.

  • Akabayashi, A., Fetters, M.D., Elwyn T.S. Family consent, communication, and advance directive for cancer disclosure: A Japanese case and discussion. Journal of Medical Ethics 25 :4; 296-301, 1999.

  • Voltz R., Akabayashi, A., Reese, C., Ohi, G., Sass, H.M. Attitude of health care professionals towards clinical decisions in palliative care: A cross-cultural comparison. Journal of Clinical Ethics 10: 4; 309-315, 1999.

  • Akabayashi, A. Transplantation from a Brain Dead Donor in Japan. The Hastings Center Report May-June 29(3): 48, 1999.
    Akabayashi, A., Fetters, M.D. Paying for informed consent. Journal of Medical Ethics 26: 3; 212-214, 2000.

  • Akabayashi, A. "To Intervene?", "Misrepresenting Research" (commentary). In Thomasma D.C. and Kushner T. eds., Ward Ethics, Cambridge University Press, NY, pp. 244-247, 249-251, 2001.

  • Akabayashi, A., Voltz, R. Advance Directives in Different Cultures. In Portenoy R.K. and Bruera E. eds., Topics in Palliative Care vol. 5, Oxford University Press, New York, NY, pp.107-122, 2001.

  • Matsushima, T., Akabayashi, A., Nishitateno, K. The current status of bereavement follow-up in hospice and palliative care in Japan. Palliative Medicine 16: 151-158, 2002.

  • Akabayashi, A. Euthanasia, assisted suicide, and cessation of life support: Japan's policy, law, and an analysis of whistle blowing in two recent mercy killing cases. Social Science & Medicine 55: 517-527, 2002.

  • Akabayashi, A., Nishimori, M., Fujita, M., Slingsby BT. Living related liver transplantation: a Japanese experience and development of a checklist for donor's informed consent. Gut 52: 152, 2003.

  • Akabayashi, A., Slingsby, B.T. Biomedical ethics in Japan: the second stage. Cambridge Quarterly of Healthcare Ethics. 12(3):261-4, 2003.

  • Akabayashi A. Unethical author attribution. Cambridge Quarterly of Healthcare Ethics. 12:124-130, 2003.

  • Akabayashi, A., Slingsby, B.T,. Kai, I. Perspectives on advance directives in Japanese society: A population-based questionnaire survey. BMC Medical Ethics 2003 4(5).

  • Akabayashi, A., Slingsby, B.T., Kai, I., Nishimura, T., Yamagishi, A. The development of a brief and objective method for evaluating moral sensitivity and reasoning in medical students. BMC Medical Ethics 2004, 5:1

  • Akabayashi, A., Slingsby, B.T., Fujita, M. The first donor death after living-related liver transplantation in Japan. Transplantation. 77:634, 2004.

  • Slingsby, B.T., Nagao, N., Akabayashi, A. Administrative legislation in Japan: guidelines on scientific and ethical standards. Cambridge Quarterly of Healthcare Ethics. 13:245-253, 2004.

  • Fujita, M., Slingsby, B.T., Akabayashi, A. Three patterns of voluntary consent in the case of adult to adult living related liver transplantation in Japan. Transplantation Proceedings 36: 1425-1428, 2004.

  • Akabayashi, A., Slingsby, B.T., Voltz, R. Advance Directives. In Bruera E. eds., Palliative Care in Neurology Oxford University Press, New York, NY, 2004, pp. 356-362.

  • Sato, H., Akabayashi, A., Kai, I. Public Appraisal of Government Efforts and Participation Intent in Medico-ethical Policymaking in Japan: A large scale national survey concerning brain death and organ transplant. BMC Medical Ethics. 2005; 6(1):1

  • Akabayashi, A., Slingsby, B.T., Takimoto, Y. Conflict of interests: A Japanese perspective. Cambridge Quarterly of Healthcare Ethics 14:277-280, 2005.

  • Slingsby, B.T., Akabayashi, A. Live organ-donation for islet transplantation. The Lancet 366:26-27, 2005.

  • Sato, H., Akabayashi, A. Bioethical policy making for advanced medical technologies: Institutional characteristics and citizen participation in eight OECD countries. Review of Policy Research 22(4):571-587, 2005.

  • Slingsby BT, Kodama S, Akabayashi A. Scientific misconduct in Japan: the present paucity of oversight policy. Cambridge Quarterly of Healthcare Ethics 15(3):294-7, 2006.

  • Fujita, M., Akabayashi, A., Slingsby, B.T., Kosugi, S., Fujimoto, Y., Tanaka, K. A model of donors' decision-making in adult-to-adult living donor liver transplantation in Japan: 'Having no choice.' Liver Transplantation 12 (5):768-74, 2006.

  • Akabayashi, A., Slingsby, B.T. Informed consent revisited: Japan and the U.S. American Journal of Bioethics 6(1):9-14, 2006.

  • Sato, H., Akabayashi, A., Kai, I. Appraisal of the policymaking process in Japan for gene therapy: Results of national surveys of academic societies, hospitals, and medical schools. Med Sci Monit 12(9):PH7-15, 2006.

  • Slingsby, B.T., Yamada, S., Akabayashi, A. Four physician communication styles in routine Japanese outpatient medical encounters. J Gen Intern Med 21(10):1057-62, 2006.

  • Sato H, Akabayashi A, Kai I. Public, experts, and acceptance of advanced medical technologies: the case of organ transplant and gene therapy in Japan. Health Care Anal 14(4):203-14, 2006.

  • Slingsby, B.T., Plotnikoff, G.A., Mizuno, T., Akabayashi, A. Physician strategies for addressing patient adherence to prescribed psychotropic medications in Japan: a qualitative study. J Clinical Pharmacy and Therapeutics 32:241-245, 2007.

  • Matsushima, T., Akabayashi, A., Slingsby, B.T., Nishitateno, K. Evaluation of program to cerebrate seasonal events in Japanese hospice patients. Palliative and Supportive Care 5:251-254, 2007.

  • Akabayashi A, Slingsby BT, Nagao N, Kai I, Sato H. An eight-year follow-up national study of medical school and general hospital ethics committees in Japan. BMC Med Ethics Jun 29;8:8, 2007.

  • Takimoto Y, Maeda S, Slingsby BT, Harada K, Nagase T, Nagawa H, Nagai R, Akabayashi A. A template for informed consent forms in medical examination and treatment: an intervention study. Med Sci Monit Aug;13(8):PH15-8, 2007.

  • Nagao N, Aulisio MP, Nukaga Y, Fujita M, Kosugi S, Youngner S, Akabayashi A.Clinical ethics consultation: examining how American and Japanese experts analyze an Alzheimer's case. BMC Med Ethics 2008 Jan 29;9:2.

  • Akabayashi A, Slingsby BT, Nagao N, Kai I, Sato H. A Five Year Follow-Up National Study of Ethics Committees in Medical Organizations in Japan. HEC Forum. Mar;20(1):49-60, 2008.

  • Akabayashi A. Eyes Wide Open: Blinded Views on Ethnic Identity. Asian Bioethics Review 1(1): 65-66, 2009.



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