2012, Vol.15, No.1

QALY and the Ethical Debates over the Allocation of Health Care Resources

Jeong Chang-rok | 2012, 15(1) | pp.1~23 | number of Cited : 8

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Cardiopulmonary Criteria for Organ Procurement: An Analysis of the First Case of the Pittsburgh Protocol

Kim, Jang Han | 2012, 15(1) | pp.24~33 | number of Cited : 0

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Understanding the Experiences of Family Members Who Make Do-Not-Resuscitate Decisions for Cancer Patients

옥정휘 , Yi, Myungsun | 2012, 15(1) | pp.34~51 | number of Cited : 9

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Korean College Students’ Attitudes and Preferences Toward Shared Decision-Making between Patients and Physicians

이수현 , HAN，HEUNG-SIK , CHANG CHULHUN and 2 other persons | 2012, 15(1) | pp.52~69 | number of Cited : 1

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Purpose: The purpose of this study was to examine Korean college students’ attitudes and preferences toward shared decision-making (SDM). Methods: Questionnaires were collected from 142 college students in Korea. Subjects were asked about four main items: (1) attitudes toward SDM; (2) experiences with SDM; (3) preferences for treatment decision-making for four diseases; (4) barriers to SDM. Results: It was found that 78% of the participants had never heard of SDM and 61% indicated that the doctor-patient relationship is paternalistic. The majority of subjects believed that the final treatment decision should be made by doctors and patients together. While 39% of subjects said that their doctors had asked them to participate in treatment decision-making, only 10% of subjects felt that their doctors actually wanted them to participate in SDM. The type of disease in question had no effect on the subjects’ preferences for treatment decisionmaking; all subjects expressed a preference for playing a collaborative role in the decisionmaking process. Furthermore, subjects believed that when patients and physicians disagree on treatment options, patient preferences should take precedence. Finally, subjects indicated that the main factors impeding SDM are (a) a lack of information about prognosis (28%), (b)beliefs about doctors’ sole authority for treatment decision (25%), (c) the lack of consultation time with doctors (19%), (d) the difficulties of understanding medical terms, and (e) the scarcity of available opportunities for participation in SDM. Conclusion: Although most subjects in this study were not familiar with SDM, they showed high preferences for it. Additionally, subjects did not feel that their doctors often used shared decision making. Physicians in Korea should make greater efforts to engage in SDM with their patients.

Experiences Using Peer Assessment on Small Group Discussions in Medical Ethics

Cheong Yooseok | 2012, 15(1) | pp.70~77 | number of Cited : 1

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Purpose: While peer-assessment (PA) is not new in higher education, it is not commonly used in medical schools in Korea. PA has been suggested as a method to enhance self-directed learning in various fields of education, but whether it actually improves performance is unclear. This study evaluated the impact of peer-assessment on small group discussions in medical ethics classes, and attempted to determine the suitability of PA for the evaluation of medical students. Methods: A questionnaire was developed consisting of 6 questions concerning students’ opinions of PA results. The surveyed was administered in 2010 and 2011 to fifth-year medical students at one medical college in South Korea; the participating students had recently performed PA at the end of a course in medical ethics. Student scores within groups were compared with their satisfaction with the PA results, opinions about PA, and opinions about the burdens of doing PA. Students were also asked to indicate what percentage of their PA scores they would want to contribute to their overall grades in the course. Results: A total of 91 students (82.4% male) participated in the survey. The average satisfaction score of the PA results is 6.32(±2.88) out of 10. A statistically significant correlation was found between students’ final PA scores and their levels of satisfaction with the PA (r=-0.471, p=0.000), their agreement with PA procedure (r=0.515, p=0.000), and the burden they experienced in doing PA (r=-0.312, p=0.000). On average, subjects thought that the PA should constitute about 24.5% of their final grade in the course. Conclusion: PA is promising as an alternative method of evaluating students’ contributions within small group discussions in medical ethics curricula. Further work is required to understand how PA can be used more effectively to enhance the learning experience.

A Comparison of First-Year and Senior Nursing Students’ Ethical Values and Understanding of Biomedical Ethics

Kim, Eun Hee , LEE, EUN JOO | 2012, 15(1) | pp.78~95 | number of Cited : 30

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Biobank and Broad Consent

KIM MOONJEONG | 2012, 15(1) | pp.96~111 | number of Cited : 1

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KJCKorea
Journal Central

Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21

2012, Vol.15, No.1