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Survey of controversial issues of end-of-life treatment decisions in Korea: similarities and discrepancies between healthcare professionals and the general public

机译：在韩国进行的有关生命终结治疗决策的有争议问题的调查：医护专业人员与公众之间的相似性和差异

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IntroductionEnd-of-life (EOL) treatment issues have recently gained societal attention after the Korean Supreme Court’s ruling that the presumed wishes of an elderly woman in a persistent vegetative state (PVS) should be honored. We tried to evaluate what Koreans thought about controversial issues regarding EOL treatments.MethodsWe surveyed Koreans with the following questions: 1) are ventilator-dependent PVS patients candidates for end-of life treatment decisions? 2) Is withholding and withdrawing EOL treatment the same thing? 3) In an unconscious, terminally ill patient, whose wishes are unknown, how should EOL decisions be made? 4) How should we settle disagreement amongst medical staff and the patient’s family on EOL decisions?ResultsOne thousand Koreans not working in healthcare and five hundred healthcare professionals responded to the survey. Fifty-seven percent of Koreans not working in healthcare and sixty seven percent of Korean healthcare professionals agreed that ventilator-dependent PVS patients are candidates for EOL treatment decisions. One quarter of all respondents regarded withholding and withdrawing EOL treatment as equal. Over 50% thought that EOL treatment decisions should be made through discussions between the physician and the patient’s family. For conflict resolution, 75% of Koreans not working in healthcare preferred direct settlement between the medical staff and the patient’s family while 55% of healthcare professionals preferred the hospital ethics committee.ConclusionsUnsettled issues in Korea regarding EOL treatment decision include whether to include ventilator-dependent PVS patients as candidates of EOL treatment decision and how to sort out disagreements regarding EOL treatment decisions. Koreans viewed withholding and withdrawing EOL treatment issues differently.
机译：引言在韩国最高法院裁定应尊重一名处于永久性植物人状态（PVS）的老年妇女的意愿后，临终（EOL）治疗问题最近引起了社会关注。我们试图评估韩国人对EOL治疗有争议的问题的看法。方法我们对韩国人进行了以下调查：1）是否依赖呼吸机的PVS患者可以决定是否接受生命终止治疗？ 2）保留和撤回EOL待遇是一回事吗？ 3）在一个愿望不明的昏迷，绝症的患者中，应如何做出EOL决定？ 4）我们应该如何解决医务人员和患者家属在EOL决策上的分歧？结果调查中有1000名韩国人不在医疗保健领域工作，而500名医疗保健专业人员对此做出了回应。 57％的韩国人不在医疗保健部门工作，而67％的韩国医疗保健专业人员认为呼吸机依赖的PVS患者是EOL治疗决策的候选人。四分之一的受访者认为扣留和撤回EOL待遇是平等的。超过50％的人认为应通过医师与患者家属之间的讨论来做出EOL治疗的决定。为了解决冲突，不从事医疗保健工作的韩国人中有75％倾向于在医务人员和患者家属之间直接定居，而医疗保健专业人员中有55％的人倾向于医院伦理委员会。结论在韩国，关于EOL治疗决策的未解决问题包括是否包括呼吸机依赖PVS患者可以作为EOL治疗决策的候选人，以及如何解决有关EOL治疗决策的分歧。韩国人对扣留和撤回EOL治疗问题的看法有所不同。

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