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연명의료결정법과 의료기관윤리위원회: 현황, 경험과 문제점

Other Titles
 Institutional Ethics Committees for Decisions on Life-sustaining Treatment in Korea: Their Current State and Experiences with their Operation 
Authors
 최지연  ;  장승경  ;  김정아  ;  이일학 
Citation
 Korean Journal of Medical Ethics (한국의료윤리학회지), Vol.22(3) : 209-233, 2019 
Journal Title
 Korean Journal of Medical Ethics (한국의료윤리학회지) 
ISSN
 2005-8284 
Issue Date
2019
Keywords
withholding treatment ; clinical decision-making ; ethics committees ; clinical ethics committees ; ethics consultation
Abstract
Institutional Ethics Committees are responsible for reviewing, consulting, and educating about matters related to life-sustaining treatment, these committees should play a substantial role in implementing the Act in each hospital. However, there are few such committees and their operations have been limited in many respects. In this article we report on a survey that was carried out to assess the difficulties faced by 63 committee administrators. We also conducted focus-group interviews with seven medical professionals or administrators working in health care institutions in which a committee has been established. Subjects were asked about the difficulties these committees face in advising on foregoing life-sustaining treatment. The operational problems that were reported include the following: difficulties in accessing patients’ records of decisions concerning life-sustaining treatment, obstacles in using Shared Ethics Committees, legal and administrative complexities in diagnosing the end-of-life process, the lack of expertise of committee members and administrators, manpower shortages on the committees, and medical professionals’ negative views of the Act’s procedures for life-sustaining treatment decision-making. In order to deal with these problems, we suggest the following solutions: improving the accessibility of patients’ life-sustaining treatment decisions, encouraging the use of Shared Ethics Committees, defining the qualifications and training requirements for Committee members, establishing better communications among committee members; creating an educational system for medical professionals in order to improve their understanding of the committees’ role; and developing standard operating procedures for the committees.
Files in This Item:
T201904712.pdf Download
DOI
10.35301/ksme.2019.22.3.209
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Medical Law and Bioethics (의료법윤리학과) > 1. Journal Papers
Yonsei Authors
Lee, Il Hak(이일학) ORCID logo https://orcid.org/0000-0002-6531-8752
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173485
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