KMID : 1130220190230020063
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Annals of Geriatric Medicine and Research 2019 Volume.23 No. 2 p.63 ~ p.70
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Korean Medical Professionals¡¯ Attitudes and Experiences on Advance Care Planning for Noncancerous Disease
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Lee Ji-Eun
Goo Ae-Jin Shin Dong-Wook Yoo Jun-Hyun
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Abstract
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Background: Advance care planning (ACP) allows patients to declare their preferences for life-sustaining and hospice palliative care. However, the perception of ACP remains low in Korea. The present study assessed the attitudes and status of medical professionals in relation to end-of-life care decisions in older and noncancerous patients.
Methods: This descriptive correlation study was performed to understand the attitudes regarding and status of ACP and advance directives (AD). For this purpose, we conducted a survey of members who attended the Spring Conference of the Korean Geriatrics Society in May 2015 using a questionnaire that included questions on experiences related to AD, opinions on disturbance factors and improvement measures, and questions about the status of their medical institutions.
Results: All of 181 respondents were doctors. Among the respondents, 21.7% had the experience of treating patients who had completed an AD. Medical professionals saw AD use as appropriate for terminal patients with less than 6 months of life expectancy, as well as those with degenerative neurological disorders such as amyotrophic lateral sclerosis, chronic diseases such as chronic renal disease, and early stages of Alzheimer¡¯s disease.
Conclusion: The results showed that geriatrics medical professionals agreed with the necessity for AD in noncancerous terminal diseases and that consideration of a family-centered decision-making culture, legal protection for medical professionals, and education of the general public and medical professionals will be helpful for the popularization of AD.
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KEYWORD
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Advance directives, Aged, Attitude of health personnel, Life-sustaining medicine, Noncancerous disease
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