한국의료윤리학회지(Korean Journal of Medical Ethics)

About Korean Journal of Medical Ethics

Korean Journal of Medical Ethics is the official, peer-reviewed journal of the Korean Society of Medical Ethics. It serves as an international forum for the exchange of ideas and information among scholars, practitioners, and ethicists in the field of medical ethics. This journal aims to provide theoretical foundations and practical analyses for healthcare while promoting ethical practices in medicine and scientific research. It also explores the ethical, legal, and social implications of medicine and examines related policy frameworks.
Feature Article

Dec 31, 2024

Patient and Public Involvement Model in Healthcare AI Ethics: Based on Scoping Review and Methodological Reflections
헬스케어 AI 윤리에서 환자·시민 참여 모형: 주제범위 고찰과 방법론적 검토에 기초하여

Junhewk Kim
김준혁

Korean J Med Ethics 2024;27(4):177-196.
https://doi.org/10.35301/ksme.2024.27.4.177

To apply healthcare AI ethics in clinical and research settings, self-regulatory frameworks emphasize the necessity of external validation. Building on theoretical discussions that justify patients and the public as key actors in this validation process, this article conducts a scoping review on patient and public involvement (PPI) in healthcare AI and proposes a model for their engagement. A search was conducted in academic databases using the keywords “AI” and “patient and public involvement.” Out of the 114 studies that were identifi...
Commentary

Dec 31, 2024

AI and Participation: Who Participates, How, and Why?
AI와 참여: 누구를 위한, 무엇을 위한, 어떤 참여인가?

Yunjae Kang
강윤재

Korean J Med Ethics 2024;27(4):197-202.
https://doi.org/10.35301/ksme.2024.27.4.197

With the rapid advance of artificial intelligence (AI) technology and the development of healthcare AI, there is a growing need for reflection and debate on the meaning, scope, and feasibility of participation in healthcare AI. This review contributes to this process of reflection in the following three ways. First, it explores efforts to define AI as intelligent technology. Second, it explains the concept of participatory AI, which applies participatory design principles to the development of AI systems. Finally, it reviews critical concerns w...
Commentary

Dec 31, 2024

Towards an Ontological Shift in Patient and Citizen Participation
환자·시민 참여 패러다임의 존재론적 전환 가능성

Tegu Joe
조태구

Korean J Med Ethics 2024;27(4):203-207.
https://doi.org/10.35301/ksme.2024.27.4.203

Amid the growing prominence of healthcare artificial intelligence (AI), current research still pays only nominal attention to patient and citizen participation. However, this engagement rarely extends beyond tokenism, as healthcare AI ethics continues to reinforce rigid distinctions between doctors and patients and also between subjects and objects. These distinctions, which impedes genuine participation, are rooted in a specific ontology. By embracing a new ontology, participation becomes self-evident, shifting the focus from questioning its f...
Commentary

Dec 31, 2024

Substantive and Procedural Methods to Regulate the Risks and Side Effects of Healthcare AI
헬스케어 AI의 위험 및 부작용에 대한 실체적·절차적 규제 방법

Wook Jang
장욱

Korean J Med Ethics 2024;27(4):209-213.
https://doi.org/10.35301/ksme.2024.27.4.209

As advances in artificial intelligence (AI) research and development edge closer to achieving Artificial General Intelligence (AGI), concerns about the risks and side effects of healthcare AI are growing. In response to these concerns, this study reviews the regulatory measures proposed in the lead article for this volume, which are categorized into substantive and procedural approaches to AI regulation. Special attention is given to the verification entities described in the procedural approach to critically assess their role in mitigating the...
Commentary

Dec 31, 2024

Considerations for Implementing a Patient and Public Engagement Model of Healthcare AI
보건의료 AI 개발에서 환자 시민 참여 모델 적용을 위한 제언

Junghyun Lee, Hannah Kim
이정현, 김한나

Korean J Med Ethics 2024;27(4):215-220.
https://doi.org/10.35301/ksme.2024.27.4.215

This commentary builds on the lead article for this volume by proposing additional considerations for implementing a healthcare AI framework centered on patients and citizens. It argues that rather than being mere data providers, patients and citizens must serve as external validators, thereby enhancing transparency and fairness in the development of healthcare AI. The participation of patients and citizens is essential to safeguarding the rights of data providers, ensuring transparent AI usage, and promoting equitable healthcare access. Howeve...
Commentary

Dec 31, 2024

The Significance of Patient Participation in the Era of Medical Artificial Intelligence
의료 인공지능의 시대에서 환자 참여의 의미

Cheayun Jung
정채연

Korean J Med Ethics 2024;27(4):221-224.
https://doi.org/10.35301/ksme.2024.27.4.221

Artificial intelligence (AI) is revolutionizing healthcare by expanding the definition of health and integrating vast amounts of medical data, including unstructured data, into medical science. This transformation highlights the importance of patient participation, reshaping the traditional doctor-patient dynamic into a collaborative relationship that fosters patient empowerment, medical democracy, and accessibility. AI also facilitates shared decision-making between humans and machines, creating hybrid relationships among doctors, patients, an...
Commentary

Dec 31, 2024

Patient and Public Involvement in Healthcare AI: Perspectives from Science and Technology Studies
헬스케어 AI의 환자·시민참여: 과학기술학의 관점

So Yeon Leem
임소연

Korean J Med Ethics 2024;27(4):225-230.
https://doi.org/10.35301/ksme.2024.27.4.225

This commentary argues that the active participation of patients and the public is essential for developing a more ethical and scientifically robust healthcare AI, one that transforms patients’ everyday knowledge into scientific insights. It begins by introducing conceptual tools and case studies from the field of Science and Technology Studies (STS) that facilitate patient and public involvement in healthcare AI. Using Jeanette Pols’ study of a community of patients with Chronic Obstructive Pulmonary Disease (COPD) as a focal example, this...
Commentary

Dec 31, 2024

Healthcare AI Ethics and Patient and Public Engagement: An Science and Technology Studies (STS) Perspective
과학기술학 관점에서 본 헬스케어 AI 윤리와 환자·시민 참여

Miryang Kang
강미량

Korean J Med Ethics 2024;27(4):231-236.
https://doi.org/10.35301/ksme.2024.27.4.231

This article discusses Junhewk Kim’s “Patient and Public Involvement Model in Healthcare artificial intelligence (AI) Ethics.” I focus on two key aspects of Kim’s argument: the particularity of healthcare AI research compared to traditional medical research, and the exclusive legitimacy of patients and citizens as the subjects of external validation. I contend that Kim’s current reasoning does not elucidate the unique nature of big data in healthcare AI and risks limiting the democratic potential of participatory models. The field of ...
Commentary

Dec 31, 2024

Enhancing the Accountability and Safety of AI through a Participatory Knowledge-Based Approach

Eunsuk Chang

Korean J Med Ethics 2024;27(4):237-239.
https://doi.org/10.35301/ksme.2024.27.4.237

This commentary addresses some of the challenges of artificial intelligence (AI) in healthcare, focusing on data bias, transparency, and the validation of real-world data (RWD). We propose the integration of knowledge-based approaches, particularly ontologies, as a solution for validating the vast amounts of data used in training AI models. Ontologies provide automated verification capabilities to identify errors and biases within datasets. More accurate and trustworthy AI systems can be created by combining machine learning with knowledge-base...
Research Article

Dec 31, 2024

The Collective Action of Korean Physicians: A Perspective on Social Contract and Professionalism
한국 의사의 집단 행동에 대한 하나의 관점: 사회 계약과 전문직업성을 중심으로

Eun Kyung Choi
최은경

Korean J Med Ethics 2024;27(4):241-255.
https://doi.org/10.35301/ksme.2024.27.4.241

The conflict between the Korean government and physicians over expanding medical school enrollment has created an unprecedented crisis in Korean healthcare. This article argues that the collective action of Korean physicians is motivated in part by a deeper crisis of professional identity and contradictions inherent in their social status. The article examines the collective action of physicians from the perspectives of professionalism and social contract theory. In healthcare, the social contract is a foundation for medical ethics and a core c...
Research Article

Dec 31, 2024

The Justification of Doctors' Strikes: Lessons from Korea's 2024 Medical Dispute
의사 파업의 정당성에 관한 쟁점: 2024 한국의 의료사태에의 적용

Dokyong Kim
김도경

Korean J Med Ethics 2024;27(4):257-266.
https://doi.org/10.35301/ksme.2024.27.4.257

The right to collective action, including striking, is regarded as a fundamental right of workers. However, in the healthcare sector, strikes can cause harm to patients and challenge professional ethics, which raises the question of whether or to what extent strikes in the healthcare sector can be justified. This article addresses this question through a framework first developed by Selemogo and Essex. It examines the conflict between the Korean government and medical community in 2024 are argues that the doctors’ strike during that period wa...
Research Article

Dec 31, 2024

Factors Influencing End-of-life Care Competency in Nursing Students
간호대학생의 생애말기 간호역량 영향요인

Jinryung Park, Minjeong Seo
박진령, 서민정

Korean J Med Ethics 2024;27(4):267-284.
https://doi.org/10.35301/ksme.2024.27.4.267

This descriptive study was designed to identify factors influencing end-of-life nursing competency among nursing students. Data were collected from 184 undergraduate students with over one year of clinical experience, all of whom were attending one of two nursing colleges located in Gyeongsangnam-do, South Korea. A self-reported structured questionnaire assessed end-of-life care competency, knowledge of hospice and palliative care, empathy competency, ethical nursing competency, and attitudes toward end-of-life care. The data were analyzed usin...

CURRENT ISSUE: Dec 2024, Vol. 27, No. 4

Feature Article Patient and Public Involvement Model in Healthcare AI Ethics: Based on Scoping Review and Methodological Reflections 헬스케어 AI 윤리에서 환자·시민 참여 모형: 주제범위 고찰과 방법론적 검토에 기초하여 Junhewk Kim 김준혁 Korean J Med Ethics 2024;27(4):177-196. https://doi.org/10.35301/ksme.2024.27.4.177 HTML PDF PubReader	Commentary AI and Participation: Who Participates, How, and Why? AI와 참여: 누구를 위한, 무엇을 위한, 어떤 참여인가? Yunjae Kang 강윤재 Korean J Med Ethics 2024;27(4):197-202. https://doi.org/10.35301/ksme.2024.27.4.197 HTML PDF PubReader
Commentary Towards an Ontological Shift in Patient and Citizen Participation 환자·시민 참여 패러다임의 존재론적 전환 가능성 Tegu Joe 조태구 Korean J Med Ethics 2024;27(4):203-207. https://doi.org/10.35301/ksme.2024.27.4.203 HTML PDF PubReader	Commentary Substantive and Procedural Methods to Regulate the Risks and Side Effects of Healthcare AI 헬스케어 AI의 위험 및 부작용에 대한 실체적·절차적 규제 방법 Wook Jang 장욱 Korean J Med Ethics 2024;27(4):209-213. https://doi.org/10.35301/ksme.2024.27.4.209 HTML PDF PubReader
Commentary Considerations for Implementing a Patient and Public Engagement Model of Healthcare AI 보건의료 AI 개발에서 환자 시민 참여 모델 적용을 위한 제언 Junghyun Lee, Hannah Kim 이정현, 김한나 Korean J Med Ethics 2024;27(4):215-220. https://doi.org/10.35301/ksme.2024.27.4.215 HTML PDF PubReader	Commentary The Significance of Patient Participation in the Era of Medical Artificial Intelligence 의료 인공지능의 시대에서 환자 참여의 의미 Cheayun Jung 정채연 Korean J Med Ethics 2024;27(4):221-224. https://doi.org/10.35301/ksme.2024.27.4.221 HTML PDF PubReader
Commentary Patient and Public Involvement in Healthcare AI: Perspectives from Science and Technology Studies 헬스케어 AI의 환자·시민참여: 과학기술학의 관점 So Yeon Leem 임소연 Korean J Med Ethics 2024;27(4):225-230. https://doi.org/10.35301/ksme.2024.27.4.225 HTML PDF PubReader	Commentary Healthcare AI Ethics and Patient and Public Engagement: An Science and Technology Studies (STS) Perspective 과학기술학 관점에서 본 헬스케어 AI 윤리와 환자·시민 참여 Miryang Kang 강미량 Korean J Med Ethics 2024;27(4):231-236. https://doi.org/10.35301/ksme.2024.27.4.231 HTML PDF PubReader
Commentary Enhancing the Accountability and Safety of AI through a Participatory Knowledge-Based Approach Eunsuk Chang Korean J Med Ethics 2024;27(4):237-239. https://doi.org/10.35301/ksme.2024.27.4.237 HTML PDF PubReader	Research Article The Collective Action of Korean Physicians: A Perspective on Social Contract and Professionalism 한국 의사의 집단 행동에 대한 하나의 관점: 사회 계약과 전문직업성을 중심으로 Eun Kyung Choi 최은경 Korean J Med Ethics 2024;27(4):241-255. https://doi.org/10.35301/ksme.2024.27.4.241 HTML PDF PubReader
Research Article The Justification of Doctors' Strikes: Lessons from Korea's 2024 Medical Dispute 의사 파업의 정당성에 관한 쟁점: 2024 한국의 의료사태에의 적용 Dokyong Kim 김도경 Korean J Med Ethics 2024;27(4):257-266. https://doi.org/10.35301/ksme.2024.27.4.257 HTML PDF PubReader	Research Article Factors Influencing End-of-life Care Competency in Nursing Students 간호대학생의 생애말기 간호역량 영향요인 Jinryung Park, Minjeong Seo 박진령, 서민정 Korean J Med Ethics 2024;27(4):267-284. https://doi.org/10.35301/ksme.2024.27.4.267 HTML PDF PubReader

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Article Moral Sensitivity and Moral Distress among Korean Hospital Nurses 병원 간호사의 도덕적 민감성과 도덕적 고뇌* Hae Ri kim, Sung Hee Ahn 김해리, 안성희 Korean J Med Ethics 2010;13(4):321-336. https://doi.org/10.35301/ksme.2010.13.4.321 HTML PDF PubReader Cited by 26	Article A Study of the Attitudes of Patients, Family Members, and Physicians toward the Withdrawal of Medical Treatment for Terminal Patients in Korea 우리나라 일부 병원에서 환자, 보호자, 의료진의 연명치료 중지 관련 의사결정에 관한 태도* Ivo KWON, Younsuck KOH, Yun Young Ho, Dae Seog HEO, Sang Yeon SEO, Hyeonchul KIM, Kyungsuk CHOI, Hyuna BAE, Kyungjin AHN 권복규, 고윤석, 윤영호, 허대석, 서상연, 김현철, 최경석, 배현아, 안경진 Korean J Med Ethics 2010;13(1):1-16. https://doi.org/10.35301/ksme.2010.13.1.1 HTML PDF PubReader Cited by 22
Article The Process of Medical Decision-making for Cancer Patients 암환자의 의학적 의사결정과정* Sang-Mok Lee, Seongyeon Kim, Hyung-Sik Lee 이상목, 김성연, 이형식 Korean J Med Ethics 2009;12(1):1-14. https://doi.org/10.35301/ksme.2009.12.1.1 HTML PDF PubReader Cited by 17	Article The Present Status and Future Directions of Nursing Ethics Education 우리나라 간호윤리 교육의 현황 및 전망 Jin-Hee PARK, Yong-Soon KIM, Won-Ok KIM 박진희, 김용순, 김원옥 Korean J Med Ethics 2009;12(3):251-260. https://doi.org/10.35301/ksme.2009.12.3.251 HTML PDF PubReader Cited by 17
Article Moral Distress Experienced by Nurses in South Korea: An Integrated Review 간호사가 경험한 도덕적 고뇌에 관한 통합적 문헌고찰: 국내문헌을 중심으로 Bohyun PARK, Younjae OH 박보현, 오연재 Korean J Med Ethics 2016;19(3):312-327. https://doi.org/10.35301/ksme.2016.19.3.312 HTML PDF PubReader Cited by 15	Article A Study of the Moral Sensitivity of Nurses and Nursing Students in Korea 간호대학생과 간호사의 도덕적 민감도 비교 Sung-Sook HAN, Yong-Soon KIM, Jin-Hee PARK, Sung-Hee AHN, Kwang-Ho MENG, Ju-Hoo KIM 한성숙, 김용순, 박진희, 안성희, 맹광호, 김주후 Korean J Med Ethics 2007;10(2):117-124. https://doi.org/10.35301/ksme.2007.10.2.117 HTML PDF PubReader Cited by 14
Article Validating the Korean Version of the Preferences for Care near the End of Life (PCEOL-K) Scale 한국판 임종치료선호도(Preferences for Care Near the End of Life Scale-Korean Version: PCEOL-K)의 신뢰도 및 타당도 Yunjung Lee, Shinmi Kim 이윤정, 김신미 Korean J Med Ethics 2009;12(1):29-42. https://doi.org/10.35301/ksme.2009.12.1.29 HTML PDF PubReader Cited by 14	Article The Impact of Moral Sensitivity and Moral Distress on End-of-life Care Performance among Intensive Care Unit Nurses 중환자실 간호사의 도덕적 민감성과 도덕적 고뇌가 임종간호수행에 미치는 영향 Joo-Seon LEE, Suk-Hee AHN 이주선, 안숙희 Korean J Med Ethics 2019;22(2):140-160. https://doi.org/10.35301/ksme.2019.22.2.140 HTML PDF PubReader Cited by 13
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CURRENT ISSUE: Dec 2024, Vol. 27, No. 4

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