Barriers to Informed Refusal in Korea

Abstract In South Korea, the legal and cultural environment keeps terminally ill patients from making an informed refusal to a treatment the discontinuation of which can cause death. Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life allow...

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Autor principal:	Junga Kim,Claire
Lenguaje:	English
Publicado:	Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile 2021
Materias:	treatment refusal informed refusal terminal patients terminal care life-sustaining treatment
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2021000200173
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spelling	oai:scielo:S1726-569X20210002001732021-11-22Barriers to Informed Refusal in KoreaJunga Kim,Claire treatment refusal informed refusal terminal patients terminal care life-sustaining treatment Abstract In South Korea, the legal and cultural environment keeps terminally ill patients from making an informed refusal to a treatment the discontinuation of which can cause death. Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life allows several forms of informed refusal, but it is not enough. There is no explicit guarantee, at least under this law, of the right to refuse a treatment given during a period that has not reached an end-of-life process prescribed in the law. Dori, which the family of a terminal patient feels obligated to follow, makes them commit to doing what they believe is right as a family member without asking the patient’s intention. Because it reduces the family’s motivation to have a difficult talk about death and end-of-life with the patient, the patient is deprived of an opportunity to make a decision based on accurate information. In making a decision for the patient while patient is excluded, the family often ends up choosing a safe decision that puts physical survival first. In conclusion, the culture and the culturally influenced law are making it impractical for terminal patients to make an informed refusal.info:eu-repo/semantics/openAccessCentro Interdisciplinario de Estudios en Bioética, Universidad de ChileActa bioethica v.27 n.2 20212021-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2021000200173en10.4067/S1726-569X2021000200173
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	treatment refusal informed refusal terminal patients terminal care life-sustaining treatment
spellingShingle	treatment refusal informed refusal terminal patients terminal care life-sustaining treatment Junga Kim,Claire Barriers to Informed Refusal in Korea
description	Abstract In South Korea, the legal and cultural environment keeps terminally ill patients from making an informed refusal to a treatment the discontinuation of which can cause death. Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life allows several forms of informed refusal, but it is not enough. There is no explicit guarantee, at least under this law, of the right to refuse a treatment given during a period that has not reached an end-of-life process prescribed in the law. Dori, which the family of a terminal patient feels obligated to follow, makes them commit to doing what they believe is right as a family member without asking the patient’s intention. Because it reduces the family’s motivation to have a difficult talk about death and end-of-life with the patient, the patient is deprived of an opportunity to make a decision based on accurate information. In making a decision for the patient while patient is excluded, the family often ends up choosing a safe decision that puts physical survival first. In conclusion, the culture and the culturally influenced law are making it impractical for terminal patients to make an informed refusal.
author	Junga Kim,Claire
author_facet	Junga Kim,Claire
author_sort	Junga Kim,Claire
title	Barriers to Informed Refusal in Korea
title_short	Barriers to Informed Refusal in Korea
title_full	Barriers to Informed Refusal in Korea
title_fullStr	Barriers to Informed Refusal in Korea
title_full_unstemmed	Barriers to Informed Refusal in Korea
title_sort	barriers to informed refusal in korea
publisher	Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S1726-569X2021000200173
work_keys_str_mv	AT jungakimclaire barrierstoinformedrefusalinkorea
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Barriers to Informed Refusal in Korea

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