연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로

@article{ART002364045},
author={ 김용 },
title={연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로},
journal={의료커뮤니케이션},
issn={1975-888X},
year={2018},
volume={13},
number={1},
pages={53-61},
doi={10.15715/kjhcom.2018.13.1.53},
url={http://dx.doi.org/10.15715/kjhcom.2018.13.1.53}

TY - JOUR
AU - 김용
TI - 연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로
T2 - 의료커뮤니케이션
PY - 2018
VL - 13
IS - 1
PB - 대한의료커뮤니케이션학회
SP - 53-61
SN - 1975-888X
AB - Background: The Purpose of this study is to look into the signification and challenges of the Act on life prolongation determination of a patient who is going under hospice palliative medical care and a deathbed process (hereinafter referred to as “the Well-Dying Act”) from a position of a patient. Methods: To improve the problems exposed in the process of enforcement of the Well-Dying Act, it’s important to find a solution point after looking into improvements from a position of a patient through communication in line with the intent of law enactment. Hereupon, this study intended to look into improvements through the interviews with family members of a patient, and doctors. Results: it was found that improvements include reduction in the domain of family for consent to an interruption of life prolongation medical care, necessity of establishment of a medical institution ethics committee for implementing the Well-Dying Act, simplification of the relevant form, abolition of a criminal penalty clause, and introduction of an authorized agent, etc. Conclusion: This study thinks that it stands to reason to limit the domain of family for consent to an interruption of life prolongation medical care to a patient’s spouse, parents and children in principle; nevertheless, when all these persons are not existent, reasonable is the way to impose a duty of getting unanimous consent to a patient’s well-dying from all direct lineal ascendants and descendants of the patient on a relevant medical institution.
KW - 연명의료결정법, 환자, 커뮤니케이션, 의료기관
DO - 10.15715/kjhcom.2018.13.1.53
UR - http://dx.doi.org/10.15715/kjhcom.2018.13.1.53
ER -

김용 (2018). 연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로. 의료커뮤니케이션, 13( 1), 53- 61.

김용 . 2018, “연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로”, 의료커뮤니케이션, vol. 13, no. 1, pp. 53-61. Available from: doi:10.15715/kjhcom.2018.13.1.53

김용 “연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로” 의료커뮤니케이션 13.1 pp. 53-61 (2018): 53.

김용 . 연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로 의료커뮤니케이션 [Internet]. 2018; 13( 1), : 53-61. Available from: doi:10.15715/kjhcom.2018.13.1.53

김용 . “연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로” 의료커뮤니케이션 13, no.1 (2018): 53-61. doi: 10.15715/kjhcom.2018.13.1.53

홈 권호 목록 논문 목록 논문 상세

연명의료결정법의 의미와 과제 - 환자 중심 의료를 중심으로

의료커뮤니케이션

약어 : 의료커뮤니케이션

2018, vol.13, no.1, pp.53 - 61

DOI : 10.15715/kjhcom.2018.13.1.53

발행기관 : 대한의료커뮤니케이션학회

연구분야 : 의학일반

김용¹

¹고려대학교

인용한 논문 수 : 10 서지 간략 보기

초록

Background: The Purpose of this study is to look into the signification and challenges of the Act on life prolongation determination of a patient who is going under hospice palliative medical care and a deathbed process (hereinafter referred to as “the Well-Dying Act”) from a position of a patient. Methods: To improve the problems exposed in the process of enforcement of the Well-Dying Act, it’s important to find a solution point after looking into improvements from a position of a patient through communication in line with the intent of law enactment. Hereupon, this study intended to look into improvements through the interviews with family members of a patient, and doctors. Results: it was found that improvements include reduction in the domain of family for consent to an interruption of life prolongation medical care, necessity of establishment of a medical institution ethics committee for implementing the Well-Dying Act, simplification of the relevant form, abolition of a criminal penalty clause, and introduction of an authorized agent, etc. Conclusion: This study thinks that it stands to reason to limit the domain of family for consent to an interruption of life prolongation medical care to a patient’s spouse, parents and children in principle; nevertheless, when all these persons are not existent, reasonable is the way to impose a duty of getting unanimous consent to a patient’s well-dying from all direct lineal ascendants and descendants of the patient on a relevant medical institution.

키워드

연명의료결정법, 환자, 커뮤니케이션, 의료기관

참고문헌(10)

[학술지] Epstein AS / 2016 / Discussions of Life Expectancy and Changes in Illness Understanding in Patients With Advanced Cancer / Journal of Clinical Oncology 34 (20) : 2398 ~ 2403
[학술지] Trevino KM / 2016 / Accuracy of Advanced Cancer Patients' Life Expectancy Estimates: The Role of Race and Source of Life Expectancy Information / Cancer 122 (12) : 1905 ~ 1912
[학술지] 허대석 / 2017 / 의료기관윤리위원회 활성화 방안: 임상윤리자문팀 / 한국의료윤리학회지 20 (4) : 353 ~ 358
[학술지] Eitzel MV / 2017 / Citizen Science Terminology Matters: Exploring Key Terms / Citizen Science: Theory and Practice 2 (1) : 1 ~ 20
[학술지] Yun YH / 2010 / Experiences and attitudes of patients with terminal cancer and their family caregivers toward the disclosure of terminal illness / Journal of Clinical Oncology 28 (11) : 1950 ~ 1957
[학술지] Tanco K / 2015 / Patient Perception of Physician Compassion After a More Optimistic vs a Less Optimistic Message / JAMA Oncology 1 (2) : 176 ~ 183
[학술지] Weeks JC / 2012 / Patients' Expectations about Effects of Chemotherapy for Advanced Cancer / The New England Journal of Medicine 367 : 1616 ~ 1625
[학술지] Mack JW / 2012 / Reasons Why Physicians Do Not Have Discussions About Poor Prognosis, Why It Matters, and What Can Be Improved / Journal of Clinical Oncology 30 (22) : 2715 ~ 2717
[학술지] Sadananda BN / 2013 / Death in the hospital: Breaking the bad news to the bereaved family / Indian J Crit Care Med 17 (3) : 178 ~ 181
[학술지] 이일학 / 2017 / 연명의료결정법과 임상윤리서비스 / 생명윤리 18 (1) : 35 ~ 45