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KMID : 0926620220270010011
Korean Journal of Hospital Management
2022 Volume.27 No. 1 p.11 ~ p.19
Factors Associated with the Exercise of Right to Self-determination about non-benefit Medical Services
Kim Ji-Eun

Hahm Myung-Il
Lee Hye-Won
Kim Sun-Jung
Abstract
Purposes: This study was to investigate intention to exercise the patient?s right of self-determination on adopting the non-benefit medical services and was to identify factors associated with intention to self-determined decision.

Methodology: A total of 1,000 adult respondents aged 20 to 65 years were recruited using stratified random sampling and surveyed by online. Multivariate logistic regression analysis was performed to identify factors associated with intention to self-determined decision using SAS 9.4(SAS Institute Inc. Cary, NC, USA).

Findings: 61.9% of total participants(n=592) had intention to exercise patient?s right of self-determination on adopting the non-benefit medical services. Significant differences were observed in the exercise of self-determination in relation to prior explanation and opportunity for self-determination.

Practical Implications: This study suggested that explanation duty of provider might influence on increasing intention to exercise the patient?s right of self-determination. Considering appropriate use of non-benefit services, it is important to enhance explanation duty of provider.
KEYWORD
Non-benefit, Informed Consent, Patient Self-Determination, Patient autonomy
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