The Level of Awareness among Korean Physicians of the Consensus Guidelines to Withhold or Withdraw Life-Sustaining Therapies (‘대한의사협회 연명치료 중지에 관한 지침(2009)’에 대한 한국 중환자 전담의사의 인식)

Jae Young Moon (문재영); LIM, CHAE-MAN (임채만); KOH YS (고윤석)

doi:10.35301/ksme.2011.14.3.266

The Level of Awareness among Korean Physicians of the Consensus Guidelines to Withhold or Withdraw Life-Sustaining Therapies

Korean Journal of Medical Ethics
Abbr : 의료윤리
2011, 14(3), pp.266~275
DOI : 10.35301/ksme.2011.14.3.266
Publisher : The Korean Society For Medical Ethics
Research Area : Medicine and Pharmacy > General Medicine
Published : September 30, 2011

Jae Young Moon ¹, LIM, CHAE-MAN ², KOH YS ²

¹서울아산병원(울산대부설)
²울산대학교

Accredited

ABSTRACT

In order to promote the dignity of terminal patients and improve end-of-life care (EOL care) in Korea, consensus guidelines to the withdrawal of life-sustaining therapies (LST) were published in October, 2009. The goal of this study was to assess the level of awareness of the guideline among physicians working in intensive care units (ICUs) in Korea and to identify barriers to the application of the guidelines. We surveyed 81 physicians working in ICUs in Korea. 32.1% of respondents were unaware of the guideline and 65.4% of respondents thought that the guidelines were not practical in the context of their ICUs. This study found that the biggest obstacle to the application of the guidelines was the lack of legal support. Ethical reasoning does not often work to resolve issues surrounding EOL care in Korean culture. In order to protect and enhance the dignity and autonomy of terminal patients, the improvement of the national health care system, more practical guidelines, and further social consultation are needed.

KEYWORDS

the consensus guideline, withholding and withdrawing, life-sustaning therapy, end-of-life care, Korean ICU, social system

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[other] / 2009 / 2009Da17417 Decided. ed by Decision SCFP

[report] / 2009 / Agency NE-bHC, in The suggestion of social consensus on withdrawing a life-sustaining therapy in terminally ill patients (NECA10A-0003) / NECA : 494~

[journal] Angus DC / 2004 / Use of intensive care at the end of life in the United States: an epidemiologic study / Crit Care Med 32(3) : 638~643

[journal] 배종면 / 2010 / A Survey of Patients Who Were Admitted for Life-Sustaining Therapy in Nationwide Medical Institutions / 대한중환자의학회지 / 대한중환자의학회 25(1) : 16~20

[journal] Carlet J / 2004 / Challenges in end-of-life care in the ICU. Statement of the 5th International Consensus Conference in Critical Care: Brussels, Belgium, April 2003 / Intensive Care Med 30(5) : 770~784

[journal] 최지윤 / 2009 / The Current Debates and Social Trends Regarding Euthanasia and the Withdrawal of Life-Sustaining Treatment in Korea / 한국의료윤리학회지 / 한국의료윤리학회 12(2) : 127~142

[journal] 김소윤 / 2009 / Attitudes and Practices of Critical Care Physicians in End-of-life Decisions in Korean Intensive Care Units / 한국의료윤리학회지 / 한국의료윤리학회 12(1) : 15~28

[journal] 고윤석 / 2011 / Charactersitics and issues of guideline to withdrawal of a life-sustaining therapy / 대한의사협회지 / 대한의사협회 54(7) : 747~757

[web] KSCCM / The current status of subspecialties of KSCCM members in 2010 / The Korean Society of Critical Care Medicine / http://www.ksccm.org/

[journal] 권복규 / 2010 / A Study of the Attitudes of Patients, Family Members, and Physicians toward the Withdrawal of Medical Treatment for Terminal Patients in Korea / 한국의료윤리학회지 / 한국의료윤리학회 13(1) : 1~16

[other] Lee YS / 2009 / The Consensus Guideline to Withhold/withdrawal of a Life-sustaining Therapy, in The ad-hoc committee to set up the guideline on withdrawing of a life-sustaining therapy

[journal] Pochard F / 2005 / Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study / J Crit Care 20(1) : 90~96

[journal] Sinuff T / 2009 / "Living with dying": the evolution of family members' experience of mechanical ventilation / Crit Care Med 37(1) : 154~158

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Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21

The Level of Awareness among Korean Physicians of the Consensus Guidelines to Withhold or Withdraw Life-Sustaining Therapies

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* References for papers published after 2023 are currently being built.

Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21

The Level of Awareness among Korean Physicians of the Consensus Guidelines to Withhold or Withdraw Life-Sustaining Therapies

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* References for papers published after 2023 are currently being built.