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의료윤리학의 학문적 위상과 학제적 연구의 범위에 대한 일고
강명신 ( Myoung Sheen Kang ),손명세 ( Myoung Sei Sohn ) 한국의료윤리학회 2009 한국의료윤리학회지 Vol.12 No.3
Medical ethics, which is expanding in scope, now includes public health ethics, bioethics, and biomedical or health care ethics. Though it started as a form of professional ethics, medical ethics is one of the most important fields of practical ethics, a branch of philosophy. According to Rawls, much of moral theory is independent from the other parts of philosophy. That is, the study of moral concepts and their relation to our moral sensibility has its own distinctive problems and subject matter, requiring unique forms of study. But what is the relation between ethics and medical ethics? In this article we argue that moral theory and medical ethics are necessarily interconnected and that they support each other. Professional duties are influenced by health care systems and policies, and public health ethics is influenced by ethical and political theory. Therefore, we argue that problems in medical ethics should be addressed from a meta-viewpoint that takes other disciplines into consideration.
말기 환자를 치료하는 의사의"호스피스정보제공" 의무화에 대한 정당성
정하윤 ( Ha Yoon Cheong ),손명세 ( Myoung Sei Sohn ),허대석 ( Dae Seog Heo ),이원희 ( Won Hee Lee ) 한국의료윤리학회 2010 한국의료윤리학회지 Vol.13 No.2
This article identifies the two key functions that doctors should perform prior to accepting terminally ill patients` requests for hospice care. In the first place, doctors caring for terminally ill patients 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.
산부인과 의료사고배상의 합리적 방안 -유형별 구조분석을 중심하여-
민혜영 ( Hye Young Min ),손명세 ( Myoung-sei Sohn ),김기경 ( Ki Kyong Kim ) 한국의료법학회 2004 한국의료법학회지 Vol.12 No.2
Although fetal deaths in labor are most frequently adverse events in local obstetric clinic in Korea, a lack of attention has been paid to build guidance and compensation system for fetal death. This study, hence, was conducted to assess the rates of fetal death in labor and the average amounts of compensation for such damage. A case-record review was conducted. Data from 3,147 litigation records was collected retrospectively from the Council of Arbitration of the Korean Medical Association (1991-2001) for 11 years period. These case-records were reviewed by RNs and classified into characteristics of medical practice and injury outcome. A total number of cases in labor were 581 cases: vaginal delivery 310 cases (53.4%) and caesarean section 271 cases (46.6%). Then, this study included 269 cases with fetal death in labor from 1991 to 2001. The average amount of compensation for fetal death was $13,480 won, less than that of maternal death ($53,250) and both of deaths ($57,345). Fetal death cases were presented in 26.2% of obstetric cases, but the scope of the amounts of compensation was vary large and couldn't be standardized to estimate. In conclusion, the normative debate should be necessary to build a rational guide to compensation for damage. Objective indicators, however, might be considered to evaluate the amounts of compensation for fetal death. Furthermore, fixed amounts of compensation can be applied to fetal death in labor. This study is a useful data for standardization of malpractice insurance coverage for fetal death in Korea.
정영한(Young Han Jeong),박은철(Eun Cheol Park),박종연(Chong Yon Park),손명세(Myoung Sei Sohn),이지전(Jee Jeon Yi) 한국병원경영학회 2000 병원경영학회지 Vol.5 No.1
This study is to identify factors affecting public relations(PR) activities through newspapers among hospitals. 53 acute hospitals with more than 500 beds were surveyed by telephone interview, and hospital-related articles on 4 major daily newspapers were searched in KINDS(Korea Intergrated Newspapers Database System). Hospitals` PR scores were evaluated by weighting the direction and the number of hospitals mentioned in an articles. The scores were analysed as the outcome of PR activities by some general characteristics. The mean of PR score was 4.64, most hospitals(22, 41.5%) fell on the group scored more than 0 and less than 5. Hospitals with score under zero were 7(13.2%) and the hospitals scored over 20 point were 3(5.8%). The number of beds and area, two general characteristics of hospitals, had decisive effect on PR activities. Analysis showed hospitals over 1000 beds scored 17.06 point and this group accounted for the highest. Hospitals from 600 to 799 beds scored 2.86, with 800 to 900 beds scored 1.93 and with 500 to 599 beds scored 0.59. Along with area, hospitals in Seoul scored 11.50 point, in Kyong-Ki and Incheon scored 1.50 and in the other areas scored -0.23 point. Department for PR and the number of workers in PR activities made hospitals active in PR. Hospitals with PR department scored 7.05 point, without PR department scored 0.98 Hospitals with workers who is whole responsibility over 5 scored 13.67, from 3 to 4 scored 6.54, from 1 to 2 scored 1.02, and the hospitals without workers who is whole responsibility scored 0.53. Among the characteristics related with PR activities, the assignment of a report in individual hospital had significant effect on the outcome of PR. Hospitals with assigned reporters scored 8.31 point, without them scored 1.89. Finally, the factors affecting PR score were identified by multiple regression analysis. The number of beds and the area(Seoul) were significantly associated with the score in positive direction.