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Making Decisions for Unbefriended Patients on Life-Sustaining-Treatment in South Korea: Healthcare Providers’ Experiences
DC Field | Value | Language |
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dc.contributor.author | 이일학 | - |
dc.date.accessioned | 2022-09-14T01:31:33Z | - |
dc.date.available | 2022-09-14T01:31:33Z | - |
dc.date.issued | 2021-09 | - |
dc.identifier.issn | 2005-8284 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/190496 | - |
dc.description.abstract | Purpose: This study attempts to clarify the difficulties faced by healthcare professionals in South Korea in making and implementing Life-Sustaining Treatment (LST) decisions for vulnerable patients who lack legally competent proxy decision-makers. Materials and Methods: First, a keyword analysis was performed on the official responses of the National Health Agency of Korea to 750 questions from healthcare workers. Second, a survey probing the difficulties that healthcare professionals face in making LST decisions was administered to the ethics committee members of 246 medical institutions. Results: From the keyword analysis, 139 keywords were categorized into ten subcategories. The survey had a 32.5% response rate, and of the respondents, 41.98% faced difficulties in making decisions for unrepresented patients because of the absence of family members or due to inadequate evidence. Among these patients, 82.35% did not have decision-making ability at the time of need and 85.29% had no family members to consult with. Conclusion: Four categories of “unbefriended” patients were identified in this study. Additionally, in uncovering evidence on how LST decisions are implemented and creating a category of “unbe-friended patients,” this study underscores the need to expand the scope of legal proxies under the LST Decisions Act. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 한국의료윤리학회 | - |
dc.relation.isPartOf | Korean Journal of Medical Ethics(한국의료윤리학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Making Decisions for Unbefriended Patients on Life-Sustaining-Treatment in South Korea: Healthcare Providers’ Experiences | - |
dc.title.alternative | 연명의료결정법에 의해 연명의료결정을 내릴 수 없는 환자에 관한 연구: 보건의료제공자의 경험을 중심으로 | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Medical Humanities and Social Sciences (인문사회의학교실) | - |
dc.contributor.googleauthor | Choi Jiyeon | - |
dc.contributor.googleauthor | Jeon Heejung | - |
dc.contributor.googleauthor | Lee Ilhak | - |
dc.identifier.doi | 10.35301/ksme.2021.24.3.271 | - |
dc.contributor.localId | A03063 | - |
dc.relation.journalcode | J02052 | - |
dc.subject.keyword | proxy | - |
dc.subject.keyword | clinical ethics | - |
dc.subject.keyword | decision making | - |
dc.subject.keyword | end-of-life decision | - |
dc.subject.keyword | Life-Sustaining Treatment Decision Act | - |
dc.contributor.alternativeName | Lee, Il Hak | - |
dc.contributor.affiliatedAuthor | 이일학 | - |
dc.citation.volume | 24 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 271 | - |
dc.citation.endPage | 285 | - |
dc.identifier.bibliographicCitation | Korean Journal of Medical Ethics (한국의료윤리학회지), Vol.24(3) : 271-285, 2021-09 | - |
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