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

무의미한 연명치료 중단 결정에서 의료의 한계

안용항1,*, 김혜정2
Yong Hang Ahn1,*, Hye Joung Kim2
1갈산중앙의원
2한림병원 가정의학과
1MD, Galsan-Central Clinic
2MD, Ph D., Department of Family Medicine, Hallym Hospital, Korea
*교신저자: 안용항. 갈산중앙의원. 032-513-9303. rkwjddml@hitel.net

ⓒ Copyright 2010 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: Mar 31, 2010

ABSTRACT

On May 21, 2009, the Supreme Court of Korea ruled that patients have the right to terminate medically meaningless treatment upon confirmation that their terminal illness is indeed irreversible. The Supreme Court’s decision thus makes proof of the irreversibility of a patient’s condition an important process in legitimatizing a patient’s decision to terminate life-sustaining treatment. However, since medical practice rejects explanations in terms of “essences” and is affected by issues of subjectivity, we argue that physicians cannot give indisputable confirmation of the irreversibility of a patient’s terminal illness, as required by the Supreme Court’s ruling.

Keywords: 의학; 생명윤리; 연명치료중단; 지식; 사전지시서
Keywords: bioethics; withdrawal of life-sustaining treatment; knowledge; advance directives