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@article{ART002242787},
author={Choi Eunkyung and HONG, Jinui and KIM， MinSun and KEAM, Bhumsuk and KIM， Miso and HEO， DaeSeog and Park Hye Yoon},
title={The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK},
journal={Korean Journal of Medical Ethics },
issn={2005-8284},
year={2017},
volume={20},
number={2},
pages={131-151},
doi={10.35301/ksme.2017.20.2.131}

TY - JOUR
AU - Choi Eunkyung
AU - HONG, Jinui
AU - KIM， MinSun
AU - KEAM, Bhumsuk
AU - KIM， Miso
AU - HEO， DaeSeog
AU - Park Hye Yoon
TI - The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK
JO - Korean Journal of Medical Ethics
PY - 2017
VL - 20
IS - 2
PB - The Korean Society For Medical Ethics
SP - 131
EP - 151
SN - 2005-8284
AB - The “Act on Life-Sustaining Treatment Determination” was passed in Korea in 2016 and will take effect after the enactment of certain ordinances and rules. In this study, we analyzed the decision-making process regarding the withholding and withdrawal of life-sustaining treatment in four countries: Taiwan, Japan, the US, and the UK. Each country introduced advance directives either through legal forms (Taiwan, the US), limited legal forms (the UK), or arbitrary forms (Japan). Japan takes a guideline-centered approach, whereas Taiwan takes law-centered approach. And while a patient’s will about life-sustaining treatment (LST) is respected as part of a patient’s self-determination in the US, physicians can refuse treatment if its benefits are extremely uncertain. On the other hand, in the UK, if a patient has lost decision-making capacity, physicians can make decision regarding the patient’s best interests. In this article, it is argued that minimal standards should be established in Korea to prevent possible abuse as well as to respect patients’ right to self-determination; however, it is desirable to support good decision-making processes between physicians and patients (and their family members) rather than to over-regulate current practice.
KW - Act on Life-Sustaining Treatment Determination;advance directive;medical ethics committee;respect of self-determination;best interests
DO - 10.35301/ksme.2017.20.2.131
ER -

Choi Eunkyung, HONG, Jinui, KIM， MinSun, KEAM, Bhumsuk, KIM， Miso, HEO， DaeSeog and Park Hye Yoon. (2017). The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK. Korean Journal of Medical Ethics , 20(2), 131-151.

Choi Eunkyung, HONG, Jinui, KIM， MinSun, KEAM, Bhumsuk, KIM， Miso, HEO， DaeSeog and Park Hye Yoon. 2017, "The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK", Korean Journal of Medical Ethics , vol.20, no.2 pp.131-151. Available from: doi:10.35301/ksme.2017.20.2.131

Choi Eunkyung, HONG, Jinui, KIM， MinSun, KEAM, Bhumsuk, KIM， Miso, HEO， DaeSeog, Park Hye Yoon "The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK" Korean Journal of Medical Ethics 20.2 pp.131-151 (2017) : 131.

Choi Eunkyung, HONG, Jinui, KIM， MinSun, KEAM, Bhumsuk, KIM， Miso, HEO， DaeSeog, Park Hye Yoon. The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK. 2017; 20(2), 131-151. Available from: doi:10.35301/ksme.2017.20.2.131

Choi Eunkyung, HONG, Jinui, KIM， MinSun, KEAM, Bhumsuk, KIM， Miso, HEO， DaeSeog and Park Hye Yoon. "The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK" Korean Journal of Medical Ethics 20, no.2 (2017) : 131-151.doi: 10.35301/ksme.2017.20.2.131

Choi Eunkyung; HONG, Jinui; KIM， MinSun; KEAM, Bhumsuk; KIM， Miso; HEO， DaeSeog; Park Hye Yoon. The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK. Korean Journal of Medical Ethics , 20(2), 131-151. doi: 10.35301/ksme.2017.20.2.131

Choi Eunkyung; HONG, Jinui; KIM， MinSun; KEAM, Bhumsuk; KIM， Miso; HEO， DaeSeog; Park Hye Yoon. The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK. Korean Journal of Medical Ethics . 2017; 20(2) 131-151. doi: 10.35301/ksme.2017.20.2.131

Choi Eunkyung, HONG, Jinui, KIM， MinSun, KEAM, Bhumsuk, KIM， Miso, HEO， DaeSeog, Park Hye Yoon. The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK. 2017; 20(2), 131-151. Available from: doi:10.35301/ksme.2017.20.2.131

Choi Eunkyung, HONG, Jinui, KIM， MinSun, KEAM, Bhumsuk, KIM， Miso, HEO， DaeSeog and Park Hye Yoon. "The Decision-Making Process Regarding Life-Sustaining Treatment in Four Countries: Taiwan, Japan, the US, and the UK" Korean Journal of Medical Ethics 20, no.2 (2017) : 131-151.doi: 10.35301/ksme.2017.20.2.131