Korean Journal of Medical Ethics 2021 KCI Impact Factor : 1.27

Korean | English

pISSN : 2005-8284 / eISSN : 2234-3598

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2022, Vol.25, No.1

  • 1.

    A Review of the Justifications for Mandatory Vaccination Policies in Response to the COVID-19 Public Health Crisis

    YOU Kihoon , KIM Ock-Joo | 2022, 25(1) | pp.1~20 | number of Cited : 0
    Abstract PDF
    In response to the ongoing COVID-19 pandemic, several countries introduced mandatory vaccination policies to increase vaccination rates. These policies were controversial because they were seen, at least by some, as coercive measures that violated individual rights and freedoms. This article examines some of the arguments that were given, both for and against, the mandatory vaccination policies that certain countries implemented in response to the COVID-19 pandemic. The four arguments for vaccine mandates that are examined concern (1) the prevention of harm to others, (2) acceptable levels of risk, (3) collective obligations, and (4) fairness in achieving essential public goods. The three arguments against vaccine mandates that are addressed concern (1) remote harms, (2) the absence of additional benefits, (3) and individual autonomy and bodily integrity. On the basis of this analysis, the article attempts to determine which specific vaccine policies, among the many that were implemented or considered, are ethically justifiable.
  • 2.

    Incorporating the Ethical Concerns of Direct-To-Consumer Genetic Testing in Employee Education

    Park Sookyung , KIM Claire Junga | 2022, 25(1) | pp.21~41 | number of Cited : 0
    Abstract PDF
    Direct-to-consumer genetic testing was legalized in Korea 2015. According to the 2020 amendment to the Bioethics and Safety Act, employees of genetic testing institutions must receive relevant training as prescribed by law, and the training should include education concerning the ethical issues raised by genetic testing. This study reviews the ethical issues associated with direct-to-consumer genetic testing from the perspectives of virtue ethics and Beauchamp and Childress’s four principles of biomedical ethics (autonomy, beneficence, non-maleficence, and justice). Additionally, this article suggests contents and methodologies for the ethics component of employee education in genetic testing. Raising awareness of the ethical issues associated with direct-to-consumer genetic testing through effective employee education is expected to reduce the occurrence of ethical problems and thereby protect consumers.
  • 3.

    The Need for a One Health Approach to Health Care

    Eunjoo Choi | 2022, 25(1) | pp.43~57 | number of Cited : 0
    Abstract PDF
    This article builds on previous research concerning the need for ethics and communication at the expanding human-animal-environment interface. COVID-19 has shown how humans, animals, and the environment are highly inter-connected. Approximately 60% of human infectious diseases in the 20th century originated in animals, and about 75% of new infectious diseases have spread from animals to humans. Although the One Health approach to medicine clearly recognizes the interconnection between people, animals, and the environment, it is also open to criticism. The One Health approach tends to focus exclusively on zoonosis while ignoring the environmental effects caused by huge capital-based development. This article examines the concept of One Health from an ecological level and discusses its achievements, the criticisms that have been raised against it, and the tasks that remain for research based upon it.
  • 4.

    Integrative Review of the Components of Shared Decision-Making

    CHOI Jiyeon | 2022, 25(1) | pp.59~79 | number of Cited : 0
    Abstract PDF
    Shared decision-making in medicine (SDM), which involves collaboration between patients and physicians, is one of the leading medical decision-making methods. This study aims to identify the components of SDM in end-of-life care by conducting an integrative literature review on SDM research. The study adopted Whittemore and Knafl’s integrative review methodology and analyzed 13 domestic and foreign articles. Based on this review, the following five components of SDM were identified. First, patients and physicians form partnerships in which both play an active role in the decision-making process. Second, information is exchanged between patients and physicians in a circular and transparent manner. Third, sufficient time is spent on meetings, deliberation, and decision-making. Fourth, the decisions that are made are mutually satisfactory and understood by both participants. Fifth, attempts are made to determine whether the patient’s intentions have changed even after a shared-decision is made. In addition to identifying the components of SDM in end-of-life care, this article argues that it is necessary to change certain perceptions and attitudes of medical personnel to enhance patient participation and the exchange of information with patients.