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KMID : 1023720180730040303
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Journal of Welfare for the Aged
2018 Volume.73 No. 4 p.303 ~ p.331
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The Effect of Solidarity with Adult Children on the Elderly’s Decision about the Medical Care for Life Prolongation
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Eo Yu-Gyeong
Kim Soon-Eun
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Abstract
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The purpose of this study is to analyze the effect of the intergenerational solidarity felt by elderly people in relation to their adult children on the decision about the medical care for life prolongation. Assuming the condition of unrecoverable illness, the alternatives given in the survey were active hospital treatment, hospice focusing on pain relief, alternative medicine such as herbal medicine, and waiting for death. Intergenerational solidarity in families was measured by five sub-dimensions including normative solidarity, functional solidarity(parents helping adult children and adult children helping parents), affectual solidarity and consensual solidarity. Multinomial logistic regression analysis was applied to analyze data from the survey conducted to the 2,064 elderly people in Korea. The results showed that the higher the normative solidarity, the greater the likelihood of active hospital treatment. When parents had a strong sense of functional solidarity in helping their adult children, the chances of choosing to die were significantly reduced. Conversely, if parents had a high sense of functional solidarity by receiving care from their children, the chances of choosing hospice were increasing, and the chances of choosing active hospital care and alternative medicine were diminishing. As the level of affectual solidarity was higher, parents were more likely to choose death and less likely to choose alternative medicine. Finally, the higher the level of consensual solidarity was, the higher the probability of choosing alternative medicine was, and the lower that of choosing hospice was. The results of this analysis showed that the relationship between the elderly and their adult children affects their decision about the medical care for life prolongation and well-dying for preparing the end of life.
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KEYWORD
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End-of-Life Decision, Hospice, Intergenerational Solidarity, Elderly, Well-dying
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