Korean Journal of Medical Ethics 2023 KCI Impact Factor : 1.21
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pISSN : 2005-8284 / eISSN : 2234-3598
- https://journal.kci.go.kr/medethics
KJCKorea
Journal Central
Ethical Issues in End-of-Life Decision Making:A New Model for Medical Decisions
- Korean Journal of Medical Ethics
- Abbr : 의료윤리
- 2012, 15(2), pp.160-183
- DOI : 10.35301/ksme.2012.15.2.160
- Publisher : The Korean Society For Medical Ethics
- Research Area : Medicine and Pharmacy > General Medicine
- Published : August 31, 2012
1동아대학교
Accredited
ABSTRACT
Although informed consent was introduced as a method for respecting patient autonomy in the medical decision-making process, it fails to involve various contextual aspects of medical decisions. Informed consent presupposes personal rationality and only accepts choices made by the individual patient. Thus,if the family of an incompetent patient makes decisions on the patient’s behalf, those choices are not seen as autonomous. Accordingly, a new perspective is needed, one which strengthens patient autonomy and reflects the fact that, in countries such as Korea, a patient’s family members are properly regarded as proxy decision makers with the right to become involved in discussions and decisions concerning the patient’s medical treatment. Traditional shared decision-making is a collaborative process involving the patient and doctor. It excludes, not only the patient's family, but also ethical consultants that can act as mediators to help resolve any conflicts. This article critically analyzes the traditional shared decisionmaking process and then proposes a new shared decision-making model.
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