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무의미한 연명치료 중단에 대한 중환자 전담의사의 인식: 포커스그룹 인터뷰를 중심으로

Other Titles
 Intensive Care Providers’ Perceptions of Medically Futile Treatment: Focus Group Interviews 
 김상현  ;  손명세  ;  고신옥  ;  이일학 
 Korean Journal of Medical Ethics (한국의료윤리학회지), Vol.15(3) : 370-384, 2012 
Journal Title
Korean Journal of Medical Ethics(한국의료윤리학회지)
Issue Date
research ethics ; awareness ; self efficacy ; knowledge ; graduate nursing education
This study was designed to examine intensive care providers` perceptions of medically futile treatment. Focus group interviews were conducted with 18 intensive care physicians in charge of critical care units at tertiary hospitals in Daegu, Gwangju, and Seoul, South Korea. Results are as follow. 1. More than half of the participants opposed the inclusion of persistent vegetative state (PVS) patients in the category of medically futile treatment. 2. And though the distinctions between ordinary and extraordinary treatment, and between the withholding and withdrawal of treatment, were not clinically meaningful in the intensive care units under study, they are nevertheless relevant because of individual religious beliefs and Korean cultural traditions. 3. Since the beliefs and traditions of family members often makes it difficult for a patient to fill out advance directives, we argue that a gradual approach would be useful in choosing advance directives, making those directives optional rather than mandatory. 4. Economic factors also play a crucial role in the decision-making process regarding futile treatment in Korea. These factors were neglected in earlier surveys. Finally, the participants insisted that the physician`s right to make clinical decisions about medically futile treatment should be legislatively guaranteed based on their convictions. Based on the results of this study, we suggest the follow: a) that detailed criteria for medically futile treatments be established; b) that a decision-making process be developed that is culturally, ethically, medically, and legally acceptable; and c) that ethical education be provided to intensive care physicians.
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1. College of Medicine (의과대학) > Dept. of Medical Humanities and Social Sciences (인문사회의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Koh, Shin Ok(고신옥)
Sohn, Myong Sei(손명세) ORCID logo https://orcid.org/0000-0002-4817-0127
Lee, Il Hak(이일학) ORCID logo https://orcid.org/0000-0002-6531-8752
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