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

말기 환자를 치료하는 의사의 ‘호스피스정보제공’ 의무화에 대한 정당성

정하윤1, 손명세2, 허대석3, 이원희4,*
Ha-Yoon CHEONG1, Myoung-Sei SOHN2, Dae-Seog Heo3, Won-Hee Lee4,*
1연세대학교 간호대학 박사과정
2연세대학교 의과대학 대학원 의료법윤리학과
3서울대학교 의과대학 내과학 교실
4연세대학교 간호대 학 정책연구소
1Doctoral Student, Yonsei University College of Nursing
2Department of Medical Law & Ethics, Yonsei University College of Medicine
3Department of Internal Medicine, Seoul National University College of Medicine
4Research Institution of Nursing Policy, Yonsei University College of Nursing
*교신저자 : 이원희. 연세대학교 간호대학 정책연구소. 02-2228-3253. leewhn508@yuhs.ac

ⓒ 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.

Received: Mar 19, 2010; Accepted: Jun 01, 2010

Published Online: Jun 30, 2010

ABSTRACT

This article identifies the two key functions that doctors should perform prior to accepting erminally ill patients’ requests for hospice care. In the first place, doctors caring for terminally ill atients should inform relevant family members of the patient’s condition, provide patients and family members with information on hospice care, and offer patients an opportunity to choose to receive hospice care or not. Secondly, doctors should consult with other medical professionals concerning patients’ choices and, when appropriate, provide hospice care needs for terminal patients and their families. In order to perform these two functions effectively, doctors caring for terminally ill patients should be provided with due information on hospice care. This article reviews the relevant moral justifications for providing hospice care and argues that it not only satisfies both medical and ethical objectives but is also in terminal patients’ best interests.

Keywords: 말기 환자의 자율적인 선택; 호스피스정보제공; 환자의자율성 존중; 환자의 선 증진
Keywords: autonomous choice by terminal patients; due information on hospice care; respect for autonomous choices; terminal patients’ best interests