Korean Journal of Medical Ethics 2021 KCI Impact Factor : 1.27

Korean | English

pISSN : 2005-8284 / eISSN : 2234-3598

http://journal.kci.go.kr/medethics
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2021, Vol.24, No.4

  • 1.

    A Comparison of the Korean Medical Association’s Ethics Guidelines and the American Medical Association’s Code of Ethics

    PARK Hyoung-Wook ORD ID | 2021, 24(4) | pp.385~408 | number of Cited : 0
    Abstract PDF
    In 2017, the Korean Medical Association (KMA) revised its Code of Ethics and Ethics Guidelines. This study compares the KMA’s Ethics Guidelines with the Code of Medical Ethics of the American Medical Association (AMA). This comparison identifies several points in the KMA’s Ethics Guidelines that are in need of further attention and possible revision. In particular, the KMA’s Guidelines should (a) describe the rights of patients prior to explaining the duties of physicians, (b) explicitly state that patients have a right to self-determination, (c) distinguish between informed consent for pediatric versus minor patients, (d) describe the ethical standards for doctors in non-clinical roles, (e) provide guidance for the ethical issues raised in relation to quarantine, and (f) describe ethical standards related to medical testimony. This study also suggests that the KMA should establish a committee to reflect upon and further improve its Ethics Guidelines.
  • 2.

    Reinforcing Professionalism through Medical Ethics Education Based on Arete

    KIM Min Ji ORD ID , KIM Jun ORD ID , KIM SEON KYOUNG ORD ID | 2021, 24(4) | pp.409~422 | number of Cited : 0
    Abstract PDF
    This article examines the current status and limitations of medical ethics courses in 40 medical schools in South Korea. Weaknesses in these medical ethics curricula are identified through an analysis of students’ opinions. It is found that medical ethics education in South Korea is focused primarily on normative ethics and case-based learning while character education is largely overlooked. However, if the goal of medical ethics education is to nurture ethical virtues and medical professionalism, it is essential that medical students also receive some thinking training based on principles in virtue ethics. Accordingly, this article argues that the ten character virtues identified by the Korean Educational Development Institute should be incorporated into the case-based instructional methods used in medical ethics curricula in South Korea.
  • 3.

    Ethical Issues concerning Health Data Ownership

    CHA Hyunjae ORD ID , KIM Junhewk ORD ID | 2021, 24(4) | pp.423~459 | number of Cited : 0
    Abstract PDF
    In recent years, with the rise of the data economy, the amount of personal health data that is collected and stored has increased significantly and raised ethical and legal concerns over the question of who owns this data. This article reviews the relevant legislation in Korea, the EU, the US, and Japan and shows that in the current legal context there are practical problems with the concept of health data ownership. However, rather than abolishing that concept, this article attempts to situate it in a new ethical framework. Using Fraser’s critical theory of justice, which distinguishes between issues of redistribution versus recognition, this article argues that health data ownership should be understood in terms of a just relationship between data parties and data.
  • 4.

    Trends in Japanese Research Ethics in the 21st Century: Research Misconduct and Related Policies

    Kyu Won Lee ORD ID , KIM Ock-Joo ORD ID | 2021, 24(4) | pp.461~481 | number of Cited : 0
    Abstract PDF
    Japan and South Korea both have relatively high rates of research misconduct in the biomedical sciences. These two countries also share other relevant characteristics, including being latecomers to research ethics and having hierarchical cultures and competitive research environments. Given these similarities, Korea can learn from Japan’s efforts to eradicate research misconduct. In the 2010s, after experiencing several high-profile cases of misconduct, Japanese authorities implemented measures to combat research misconduct at the national level. However, these measures have so far been outweighed by other policies that aggravate excessive competition and a negative research culture in science and technology. This article argues that the key lesson for Korea from Japan’s experiences fighting research misconduct is that instead of focusing only on research ethics education and punishment, it is necessary to (a) establish a system of manpower training with secure employment in science and technology, (b) abolish the ‘winner takes all’ strategy in research funding, and (c) promote bottom-up policy-making.
  • 5.

    Media Coverage of the Ethical Issues in South Korea’s Healthcare System from 1945 to 1999

    PARK Hyoung-Wook ORD ID | 2021, 24(4) | pp.483~500 | number of Cited : 0
    Abstract PDF
    In the 1960s in South Korea, relatively few ethical issues in healthcare appeared in the media. In the 1970s, there was significant media coverage of the Mother-Child Health Act, strikes for medical trainees, and the refusal of medical treatment. In the 1980s, relevant media attention focused on medical accidents, active euthanasia, and fetal sex discrimination. And in the 1990s, significant media attention was given to brain death legislation, drug rebates, and human cloning. Until the 1970s, rebates in the healthcare sector were reported as a problem concerning pharmaceutical distribution as opposed to a problem with the ethics of doctors or medical institutions. In 1988, when the National Health Insurance system was established, rebates in the healthcare sector began to be viewed as criminal acts. Based on an analysis of the media coverage of the ethical issues in South Korea’s healthcare system from 1945 to 1999, this article draws the following four conclusions. First, medical ethics in South Korea are not properly distinguished from laws governing medical practice. Second, the development of medical technology has influenced the understanding and practice of medical ethics. Third, the medical profession is less able to regulate itself now than it was in the 1960s. Fourth, rebates in the healthcare sector have been over-criminalized.
  • 6.

    Clinical Nurses’ Knowledge of the Decision-making Process for End-of-life Care

    KIM Shinmi ORD ID , Hong Sun Woo ORD ID , LEE Insook ORD ID | 2021, 24(4) | pp.501~518 | number of Cited : 0
    Abstract PDF
    This article reports on a study that was conducted to assess clinical nurses’ knowledge of the decision-making process for end-of-life care in South Korea. A decision inventory consisting of 21 items was utilized, and 250 potential respondents were recruited, irrespective of their work unit, from six hospitals located in three areas of South Korea. A total of 238 clinical nurses completed the inventory from December 04, 2019 to December 28, 2019. Overall, the average score by item was 0.64±0.19 out of one point. Some of the items related to AD and POLST showed very low scores. Working experience and awareness of advance directives and physicians’ orders on life-sustaining treatment were found to affect the knowledge level of the decision-making process for end-of-life care. In general, the level of awareness concerning advance directives and physicians’ orders on life-sustaining treatment was unacceptably low considering that the respondents were clinical nurses. The results of this study highlight the need for further education for nurses in South Korea on the decision-making process for end-of-life care.