Koh Y
Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Acad Med. 2001 Mar;76(3):297-300. doi: 10.1097/00001888-200103000-00025.
The doctor-patient relationship in Korea has been deteriorating, and the numbers of malpractice suits and other medical disputes have been increasing annually for the past decade. Part of the problem may be physicians' lack of ethics education. The author and colleagues surveyed Korean residents from 14 university hospitals and found that most regularly experienced serious ethical dilemmas and had difficulty appropriately managing them. Few were familiar with medical law, and many resolved ethical conflicts either on their own or by talking with colleagues. Many did not follow guidelines for obtaining informed consent. Few had ethics committees or consultants available to them, and most did not discuss ethical dilemmas with attending physicians. The author describes the kinds of dilemmas faced by Korean residents and how they manage them, and he offers recommendations for improving ethics education and the ethics environment for Korean medical students and residents.
在韩国，医患关系一直在恶化，在过去十年中，医疗事故诉讼和其他医疗纠纷的数量每年都在增加。部分问题可能在于医生缺乏职业道德教育。作者及其同事对来自14所大学医院的韩国住院医生进行了调查，发现大多数人经常遇到严重的伦理困境，并且难以妥善处理这些困境。很少有人熟悉医疗法律，许多人自行解决或与同事讨论来解决伦理冲突。许多人没有遵循获取知情同意的指导原则。很少有人能获得伦理委员会或顾问的帮助，大多数人也没有与主治医生讨论伦理困境。作者描述了韩国住院医生面临的困境类型以及他们如何处理这些困境，并为改善韩国医学生和住院医生的职业道德教育及伦理环境提出了建议。
