Korean Journal of Medical Ethics
The Korean Society for Medical Ethics
Article

사전의사결정(Advance Directives, 死前意思決定)에 대한 사법연수원생들과 전공의와 수련의들의 인식도 조사

신영태1, 이일학2,*, 김선현1, 이희일3
Young-Tae SHIN1, Il-Hak LEE2,*, Sun-Hyun KIM1, Hee-Il LEE3
1관동대학교 의과대학 명지병원 가정의학교실
2가톨릭대학교 성의교정 의과대학 인문사회의학과
3동신병원 가정의학과
1Department of Family Medicine, Myongji Hospital, College of Medicine, Kwandong University
2Division of Medical Humanities and Social Medicine, Medical College, Catholic University
3Department of Family Medicine, Dong Shin Hospital
*교신저자 : 이일학. 가톨릭대학교 성의교정 의과대학 인문사회의학과. 02-590-1247. MedicalEthics@catholic.ac.kr

ⓒ Copyright 2008 The Korean Society for Medical Ethics. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jun 30, 2008

ABSTRACT

Background: The legal and ethical issues related to advance directives have recently become controversial in Korea. This study was designed to determine whether there are any significant differences between judicial apprentices and medical trainees (including residents and interns) with respect to their attitudes toward advance directives.

Methods: A questionnaire was administered to 283 judicial apprentices from May 29 to June 9, 2006, and to 254 medical trainees (150 residents and 104 interns) from May 1 to July 31, 2006. Thus, there were a total of 537 respondents in this study.

Results: More medical trainees than judicial apprentices were familiar with advance directives (P < 0.05). More medical trainees than judicial apprentices claimed that a law for advance directives was necessary (P < 0.05). After adjusting for other predisposing factors, differences between the two groups were still statistically significant (P = 0.038). After adjusting other predisposing factors, it is found that the group which knew about advance directives beforehand responded more positively to the question whether legislation for advance directives was necessary than the group which didn't(P=0.000).

Conclusion: In this study, the difference in the number of medical trainees versus judicial apprentices who were familiar with advance directives was found to be statistically significant (P < 0.05). This caused statistically significant differences between the number of judicial apprentices versus medical trainees who believed that a law covering advance directives is needed. Therefore, greater awareness of advance directives is needed in order to establish a law governing them.

Keywords: 사전의사결정; 사법연수생; 전공의
Keywords: Advance directives; Judicial apprentices; Medical trainees