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Journal of hospice and palliative care, v.25 no.1, 2022년, pp.1 - 11
Heo, Dae Seog (Patient-Centered Clinical Research Coordinating Center, National Evidence-based Healthcare Collaborating Agency) , Yoo, Shin Hye (Center for Palliative Care and Clinical Ethics, Seoul National University Hospital) , Keam, Bhumsuk (Center for Palliative Care and Clinical Ethics, Seoul National University Hospital) , Yoo, Sang Ho (Department of Medical Humanities and Ethics, Hanyang University College of Medicine) , Koh, Younsuck (Department of Internal Medicine, Asan Medical Center)
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The Act on Decisions on Life-Sustaining Treatment has been in effect since 2018 for end-of-life patients. However, only 20~25% of deaths of terminally ill patients comply with the law, while the remaining 75~80% do not. There is significant confusion in how the law distinguishes between those in the...
1 Park SY Lee B Seon JY Oh IH 2021 A national study of life-sustaining treatments in South Korea: what factors affect decision-making? Cancer Res Treat 53 593 600 10.4143/crt.2020.803 33227190
2 National Agency for Management of Life-sustaining Treatment; Ministry of Health and Welfare 2021 2020 Annual Report: National Agency for Life-sustaining Treatment Decisions National Agency for Management of Life-sustaining Treatment Seoul
3 Kim JS Yoo SH Choi W Kim Y Hong J Kim MS 2020 Implication of the Life-Sustaining Treatment Decisions Act on End-of-Life Care for Korean terminal patients Cancer Res Treat 52 917 24 10.4143/crt.2019.740 32204581
4 Lee HY Kim HJ Kwon JH Baek SK Won YW Kim YJ 2021 The situation of life-sustaining treatment one year after Enforcement of the Act on Decisions on Life-Sustaining Treatment for Patients at the End-of-Life in Korea: data of National Agency for Management of Life-Sustaining Treatment Cancer Res Treat 53 897 907 10.4143/crt.2021.327 34082496
5 Kim HJ Kim YJ Kwon JH Won YW Lee HY Baek SK 2021 Current status and cardinal features of patient autonomy after Enactment of the Life-Sustaining Treatment Decisions Act in Korea Cancer Res Treat 53 917 25 10.4143/crt.2021.324 34082494
6 An HJ Jeon HJ Chun SH Jung HA Ahn HK Lee KH 2019 Feasibility study of physician orders for life-sustaining treatment for patients with terminal cancer Cancer Res Treat 51 1632 8 10.4143/crt.2019.009 30999720
7 Shin J Lee CW Choi YS Kim SM Park HS Park SW 2020 The characteristics of patients in the actively dying phase by documenting the implementation of decisions on life-sustaining treatment Korean J Clin Geri 21 103 9
8 Phua J Joynt GM Nishimura M Deng Y Myatra SN Chan YH 2015 Withholding and withdrawal of life-sustaining treatments in intensive care units in Asia JAMA Intern Med 175 363 71 10.1001/jamainternmed.2014.7386 25581712
9 Lee SM Kim SJ Choi YS Heo DS Baik S Choi BM 2018 Consensus guidelines for the definition of the end stage of disease and last days of life and criteria for medical judgment J Korean Med Assoc 61 509 21
10 Japanese Ministry of Health Labor and Welfare 2007 2007 Guidelines for the decision-making process for end-of-life care Ministry of Health, Labor and Welfare Tokyo
11 Moon JY Ahn H 2019 Suggestion on how to balance between physicians’ authority and patients’ autonomy: review of debate on Patient Self-Determination Act (1990) Korean J Med Ethics 22 161 73
12 Tanaka M Kodama S Lee I Huxtable R Chung Y 2020 Forgoing life-sustaining treatment - a comparative analysis of regulations in Japan, Korea, Taiwan, and England BMC Med Ethics 21 99 10.1186/s12910-020-00535-w 33066771
13 Sulmasy DP 2020 Why dementia-specific advance directives are a misguided idea J Am Geriatr Soc 68 1603 5 10.1111/jgs.16493 32374447
14 Choi EK Hong J Kim MS Keam B Kim M Heo DS 2017 The decision-making process regarding life-sustaining treatment in four countries: Taiwan, Japan, the US, and the UK Korean J Med Ethics 20 131 51
15 Kim YJ Kim SJ Lee JK Choi WS Park JH Kim HJ 2014 Prediction of survival in terminally ill cancer patients at the time of terminal cancer diagnosis J Cancer Res Clin Oncol 140 1567 74 10.1007/s00432-014-1688-1 24793643
16 Yun YH Heo DS Bae JM Im SA Yoo T Huh BY 1998 Retrospective cohort study of survival and prognostic factors with terminal cancer J Korean Cancer Assoc 30 384 93
17 Kim Y Lim CM Shim T Hong SB Hun JW Oh D 2020 The influence of new legislation on the withdrawal of life-sustaining treatment on the perceptions and experiences of residents in a tertiary hospital in Korea Korean J Med Ethics 23 279 99
18 Supreme Court en banc Decision 2009Da17417 : Withdrawal of Futile Life-Sustaining Treatment Device etc 2009 May 21 The National Assembly of the Republic of Korea Seoul Available from: https://www.law.go.kr/%ED%8C%90%EB%A1%80/(2009%EB%8B%A417417) . cited 2022 Feb 9
19 Lawrence KS Medicare: hospice care [Internet] 2021 Medicare Available from: https://www.medicare.gov/coverage/hospice-care . cited 2021 Dec 1
20 Christakis NA Escarce JJ 1996 Survival of Medicare patients after enrollment in hospice programs N Engl J Med 335 172 8 10.1056/NEJM199607183350306 8657216
21 2021 Government to review “Terminal Illness” definition [Internet] My Death, My Decision London Available from: https://www.mydeath-mydecision.org.uk/2019/07/12/government-to-review-terminal-illness-definition/ . cited 2022 Feb 9
22 Choi J Jang SG Kim J Lee I 2019 Institutional Ethics Committees for Decisions on Life-sustaining Treatment in Korea: their current state and experiences with their operation Korean J Med Ethics 22 209 33
23 2021 Apr 28 The increase in the number of unrelated corpses… ‘Last road see off’ bill comes out [Internet] Incheonilbo Incheon Available from: http://www.incheonilbo.com/news/articleView.html?idxno=1092116 . cited 2022 Feb 9
24 Kim B Kim M 2018 Developing policy for life sustaining treatment decision for patient without surrogate Korean J Med Ethics 21 114 28
25 Ahn HJ 2019 Reflections on the Life-Sustaining Treatment Decisions Act: a medical oncologist’s perspective Korean J Med Ethics 22 115 28
26 Kim B Kim M 2018 Using a health care proxy to overcome limitations of the Act on Decisions on Life-sustaining Treatment Korean J Med Ethics 21 95 113
27 2021 Uniform Health-Care Decisions Act [Internet] Uniform Law Commission Chicago IL Available from: https://www.uniformlaws.org/committees/community-home?CommunityKey=63ac0471-5975-49b0-8a36-6a4d790a4edf . cited 2022 Feb 9
28 Kim M 2018 The problems and the improvement plan of the Hospice/Palliative Care and Dying Patient’s Decisions on Life-Sustaining Treatment Act Korean J Hosp Palliat Care 21 1 8
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