<scp>COVID</scp> ‐19 Vaccination Decision‐Making for Residents With Dementia in Japanese Long‐Term Care Facilities: A National Cross‐Sectional Survey

Despite regulations requiring individual consent, many facilities proceeded with vaccination based on family consent or staff judgment. To ensure vaccinations are conducted in accordance with both the substituted judgment standard and the best interest standard, current regulations governing vaccination should be revised. Furthermore, external entities, especially local governments and sector associations, are expected to play key roles in supporting ethical decision-making in LTCFs.