Korean Journal of Medical Ethics

The Korean Society for Medical Ethics

Korean J Med Ethics 2012; 15(1):52-69

pISSN: 2005-8284, eISSN: 2234-3598

DOI: https://doi.org/10.35301/ksme.2012.15.1.52

Article

대학생들의 공동의사결정(Shared Decision Making) 참여 선호도에 대한 인식 및 태도 조사: 부산 소재 2개 대학을 중심으로*

이수현¹, 한흥식², 장철훈³, 박병규⁴, 김성수⁵^,^*

Korean College Students’ Attitudes and Preferences Toward Shared Decision-Making between Patients and Physicians

Su Hyun LEE¹, Heung Sik HAN², Chulhun L. CHANG³, Byung Kyu PARK⁴, Sung Soo KIM⁵^,^*

¹부산대학교 대학원 의학과 인문사회의학전공 박사과정

²부산대학교 윤리교육과

³부산대학교 의학전문대학원 진단검사의학교실

⁴고려대학교 의과대학 재활의학교실

⁵부산대학교 의학전문대학원 인문사회의학교실

¹Department of Social Studies of Medicine, Graduate School, Pusan National University

²Department of Ethical Education, Pusan National University

³Department of Laboratory Medicine, School of Medicine, Pusan National University

⁴Department of Physical Medicine & Rehabilitation, Korea University College of Medicine

⁵Department of Social Studies of Medicine, School of Medicine, Pusan National University

^*교신저자: 김성수, 부산대학교 의학전문대학원 인문사회의학교실. 051-510-8036. tigerkss@pnu.edu

ⓒ Copyright 2012 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: Feb 09, 2012; Accepted: Apr 13, 2012

Published Online: Apr 30, 2012

ABSTRACT

Purpose: The purpose of this study was to examine Korean college students’ attitudes and preferences toward shared decision-making (SDM).

Methods: Questionnaires were collected from 142 college students in Korea. Subjects were asked about four main items: (1) attitudes toward SDM; (2) experiences with SDM; (3) preferences for treatment decision-making for four diseases; (4) barriers to SDM.

Results: It was found that 78% of the participants had never heard of SDM and 61% indicated that the doctor-patient relationship is paternalistic. The majority of subjects believed that the final treatment decision should be made by doctors and patients together. While 39% of subjects said that their doctors had asked them to participate in treatment decision-making, only 10% of subjects felt that their doctors actually wanted them to participate in SDM. The type of disease in question had no effect on the subjects’ preferences for treatment decisionmaking; all subjects expressed a preference for playing a collaborative role in the decisionmaking process. Furthermore, subjects believed that when patients and physicians disagree on treatment options, patient preferences should take precedence. Finally, subjects indicated that the main factors impeding SDM are (a) a lack of information about prognosis (28%), (b)beliefs about doctors’ sole authority for treatment decision (25%), (c) the lack of consultation time with doctors (19%), (d) the difficulties of understanding medical terms, and (e) the scarcity of available opportunities for participation in SDM.

Conclusion: Although most subjects in this study were not familiar with SDM, they showed high preferences for it. Additionally, subjects did not feel that their doctors often used shared decision making. Physicians in Korea should make greater efforts to engage in SDM with their patients.

Keywords: 공동의사결정; 대학생들의 공동의사결정에 대한 태도; 질병의 종류에 따른 공동의사결정 참여 선호도

Keywords: shared decision making; college students’ attitudes of shared decision making; college students’ role preferences for involvement in treatment decision making