Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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The Problems and the Improvement Plan of the Hospice/Palliative Care and Dying Patient's Decisions on Life-Sustaining Treatment Act

연명의료결정법의 문제점 및 개선 방안

  • Received : 2018.02.12
  • Accepted : 2018.02.19
  • Published : 2018.03.01
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Abstract

Nearly 20 years after the Boramea Hospital case, the act on decisions on life-sustaining treatment for patients in hospice and palliative care or at the end of life has taken effect on February 4, 2018 as recommended by the National Bioethics Committee. However, during the legislation process, some parts of the bill that stakeholders and concerned parties did not see eye to eye were either revised or removed. Moreover, the hospice and palliative care part was added in the last minute before the enactment. As a result, the law includes parts that are not in line with the recommendations from the National Bioethics Committee, thereby causing various problems. Therefore, it is crucial to monitor how the decisions on life-sustaining treatments are made in the field and gather various opinions of concerned parties to identify and address problems in the early stage of the implementation of the law. Based on the data, the legislation must be amended to fulfill its purpose that is "to protect the dignity and value of human beings by assuring the best interests of the patients and by respecting their self-determination".

보라매 사건 이후 근 20년이 지나 국가위원회의 권고를 기반으로 연명의료결정법이 2018년 2월 4일 제정 시행되었다. 그러나 법률의 제정 과정에서 이해관계 당사자 및 관련자들의 의견 차이로 일부 내용은 수정 또는 삭제되었으며 제정 막바지에 호스피스 완화의료에 대한 내용이 덧붙여졌다. 이로 인해 국가위원회의 권고에 담긴 내용과는 일부 다르게 법률이 제정되어 여러 문제점들이 나타나고 있다. 그러므로 현행 법률 시행 초반 연명의료결정 수행 현장을 꼼꼼히 모니터링하고 다양한 관련자들의 의견을 잘 청취하여 문제점을 파악하고 해결 방안을 마련하여야 할 것이다. 이를 토대로 법률을 개정하여 입법 목적인 '환자의 최선의 이익을 보장하고 자기결정을 존중하여 인간으로서의 존엄과 가치를 보호'가 충실히 이루어질 수 있도록 하여야 할 것이다.

Keywords

References

  1. Shin HH. Implication of the Hospice, Palliative Care, and Life-sustaining Treatment Decision-making Act. The Justice 2017;158-3:702-7.
  2. Bae JM, Ryu HG, Lee HY, Chung SY, Cho JH, Lee NR. The social consensus on stopping meaningless end-of-life treatments in terminally ill patients. Seoul:National Evidence-based Healthcare Collaborating Agency (NECA);2009.
  3. Kim JI. A study on the death with dignity bill. Legal Theory Pract Rev 2016;4:55-84.
  4. National Bioethics Committee. 2013 Annual report of Korea National Bioethics Committee. Seoul:National Bioethics Committee;2013.
  5. Park MS, Kang TK, Kim HC. Legal challenges in criminal Justice under "Well-dying" Law. Seoul:Korea Institute of Criminology;2016.
  6. Park HW. Implication of the Hospice, Palliative Care, and Life-sustaining Treatment Decision-making Act. The Justice 2017;158-3:670-701.
  7. Kim JH. Implication of the Hospice, Palliative Care, and Life-sustaining Treatment Decision-making Act. The Justice 2017;158-3:708-13.
  8. Sun JS. The problems and future tasks of the Act of the Hospice Palliative Care and Withdrawing Life-sustaining Treatment. New Trend Criminal Law 2017;55:163-90.
  9. Lee J. A critical review on the Hospice, Palliative care, and Life-sustaining Treatment Decision-making Act. Law Rev 2016;64:219-45.
  10. Lee SB. Issues and tasks of the sog. Well-Dying Act. Kookmin Law Rev 2017;29:311-40.

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