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

의료영역에서의 샤프롱(Chaperone)제도

김한나1, 박윤형2,*
Han-Nah Kim1, Yoonhyung Park2,*
1대한의사협회 의료정책연구소
2순천향대학교 의과대학
1Research Institute for Healthcare Policy
2Medical School, Soonchunhyang University / Research Institute for Healthcare Policy
*교신저자: 박윤형. 순천향대학교 의과대학 예방의학 교수, 의료정책연구소장. 041-570-2406. parky@sch.ac.kr

ⓒ 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: Oct 26, 2010; Accepted: Dec 08, 2010

Published Online: Dec 31, 2010

ABSTRACT

Personal relationships between doctors and patients are essential for effective treatment. Optimal care is possible only when there is trust between the doctor and patient. In recent years, disputes between healthcare providers and patients have been increasing. In particular, there have been disputes related to the sexual harassment of patients during physical examinations, causing harm to doctor-patient relationships. Fundamental measures are needed to deal with these disputes. In some countries, such disputes are prevented by means of a chaperone system that helps to establish trust between the doctor and the patient. With the chaperone system, when a doctor conducts a physical examination of a patient, an assistant helps with the examination or is present during the examination. When the chaperone system is used, communication between the doctor and the patient is enhanced, thereby reducing the chances of legal disputes. This article argues that a chaperone system with detailed guidelines is needed in South Korea in order to ensure patient safety and effective treatment, especially for gynecological and other intrusive physical examinations.

Keywords: 샤프롱; 의료윤리; 내밀한 진료; 사전동의; 의사-환자관계
Keywords: chaperone; medical ethics; intimate examination; informed consent; doctor-patient relationship