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pISSN : 2005-8284 / eISSN : 2234-3598

2020 KCI Impact Factor : 1.31
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2020, Vol.23, No.4

  • 1.

    Clinical Ethics, Between Hope and Reality

    YOO Sangho | 2020, 23(4) | pp.247~252 | number of Cited : 0
    Abstract PDF
    Clinical ethics can enhance medical care by addressing the value-related issues that arise in clinical practice. However, in order for clinical ethics to play this role, further research is needed on value-related issues, especially those that relate to the practice of medicine. Ethics education for clinical practice should be designed according to the empirical research results described in this article.
  • 2.

    Clinical Ethics, What Is Studied in Clinical Ethics?

    CHEONG Yoo-Seock | KIM DO KYONG | 2020, 23(4) | pp.253~263 | number of Cited : 0
    Abstract PDF
    A total of 423 articles published in the Korean Journal of Medical Ethics between the years 1998 and 2020 were reviewed and classified. Of the total 423 papers screened, 216 articles (51.1%) covered clinical ethics. For analysis, six major categories and 25 subcategories were identified by referring to the contents of six clinical ethics textbooks. The six major categories consisted of theory and methodology, birth to death, doctor-patient relationships, professionalism, policy and legal issues, and others. Subcategories that have received extensive coverage in the 216 clinical articles identified include life-sustaining treatment, medico-legal issues, medical systems, and issues at the beginning of life (e.g. abortion). However, few if any articles have been published on topics in other subcategories, including truth-telling, impaired colleagues, gifts from patients, confidentiality, denial of treatment, unproven treatment, or physical/sexual abuse. This study highlights some of the areas of research that the Korean Journal of Medical Ethics should attempt to include in future editions of the journal in order to provide a more balanced coverage of the field of clinical ethics.
  • 3.

    Clinical Ethics, What Should Be Taught in Clinical Ethics?

    KWON Ivo | 2020, 23(4) | pp.265~277 | number of Cited : 0
    Abstract PDF
    Clinical ethics is an essential part of good clinical practice. The purpose of clinical ethics education is to promote competence in ethical reasoning based on relevant laws and guidelines, including professional codes of conduct.
  • 4.

    The Influence of New Legislation on the Withdrawal of Life-Sustaining Treatment on the Perceptions and Experiences of Residents in a Tertiary Hospital in Korea

    KIM Yeonjoo | LIM Chae-Man | SHIM Taesun and 4other persons | 2020, 23(4) | pp.279~299 | number of Cited : 1
    Abstract PDF
    Since February 2018, the “Act on Decisions on Life-sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life” (LST Decisions Act) has been in force in South Korea. Whether the law is serving its original purpose is unclear, especially in the views of current resident physicians. This study was designed to investigate the perceptions, experiences, and difficulties in carrying out decisions on life-sustaining treatment (LST) of residents in a tertiary referral hospital in Korea. An anonymous survey was conducted on residents from six departments – internal medicine (IM), general surgery (GS), obstetrics and gynecology (OBY), pediatrics (PED), orthopedic surgery (OS), and neurology (NR) – to explore their awareness of the law, practical experiences on withholding LST, and difficulties in implementing the LST Decisions Act. The survey was conducted twice, on the first and second year of the enforcement of the law. A total of 267 residents from six departments (139 on the first and 128 on the second survey) completed the questionnaire. The perceptions of resident physicians on the Act was comparably high, and procedural complexity remained as the main problem in managing LST decisions. The level of education and awareness of end-of-life care decisions were significantly associated with patient mortality in each department. Our results suggest that in order for the objectives of the LST Decisions Act to be realized, the residents in each of the departments investigated in this study require further education concerning the Act.