The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Current Status of Informed Consent Form for Acupotomy in Korean Medicine Hospitals and Development of a Standard Informed Consent Form Using Delphi Method

한방병원의 침도 시술 동의서의 현황 조사와 델파이 기법을 활용한 표준 시술 동의서 개발

  • Jihun Kim (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Bonhyuk Goo (Department of Acupuncture and Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Hyongjun Kim (Chunjin Korean Medicine Clinic) ;
  • Kyoungsuk Seo (Pusan National University Korean Medicine Hospital) ;
  • Myungjin Oh (Keumkang Korean Medical Clinic) ;
  • Myungseok Ryu (Daemyung Korean Medicine Clinic) ;
  • Sang-Hoon Yoon (Chung-Yeon Korean Medicine Clinic) ;
  • Kwang Ho Lee (Lee Kwang Ho Medicine Clinic) ;
  • Hyun-Jong Lee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Jungtae Leem (Research Center of Traditional Korean Medicine, College of Korean Medicine, Wonkwang University) ;
  • Hyungsun Jun (Department of Diagnostics, College of Korean Medicine, Wonkwang University) ;
  • Jeong Ihn Sook (College of Nursing, Pusan National University) ;
  • Sung Woon Choi (Korean Medical Society of Acupotomology) ;
  • Tae Wook Lee (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Yeonhak Kim (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Yoona Oh (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kunhyung Kim (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Gi Young Yang (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Eunseok Kim (Department of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital)
  • Received : 2024.01.22
  • Accepted : 2024.02.16
  • Published : 2024.03.01
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Abstract

Objectives: This study was conducted to develop a standard acupotomy consent form that takes into account the unique characteristics of Korean Medicine. The study was motivated by the increasing importance of patient autonomy and the growing number of legal disputes related to medical malpractice in the clinical field of Korean Medicine. Methods: The analysis phase of the study involved a survey of the current status of acupotomy consent forms in Korean Medicine hospitals nationwide. The items of each form were analyzed based on the contents of the Medical law and the standard contract for medical procedures of the Fair Trade Commission (FTC). In the development and evaluation phase, the items and contents of the acupotomy consent form were evaluated using a 5-point Likert scale and content validity was assessed through two rounds of Delphi surveys. In the improvement phase, the contents of the consent form were revised based on the results of a survey of inpatient and outpatient patients in the Department of Acupuncture and Moxibustion at Pusan National University Korean Medicine Hospital, and real-time online meeting. The final version of the standard acupotomy consent form was completed after undergoing proofreading and corrections by a linguistics expert. Results: Only 30% of Korean Medicine hospitals have implemented acupotomy consent forms. The items of the consent forms did not fully include the items presented in the Medical act and the standard contract for medical procedures of the FTC. To address this issue, two rounds of Delphi surveys and a real-time discussion were conducted with a panel of 12 experts on 27 preliminary items of consent forms. The items and contents that met the criteria for content validity ratio, convergence, and consensus were derived. Based on the derived items and content, a standard acupotomy consent form was developed. Conclusions: The standard consent form for acupotomy is anticipated to ensure patient autonomy and enhance transparency and liability in acupotomy. Furthermore, it is expected to serve as evidence in case of medical disputes related to acupotomy and contribute as a reference document for the development of standard consents forms for various procedures of Korean Medicine. However, the limitations of the study include that the survey of consent forms was limited to only training hospitals of Korean Medicine, and the standard consent form is only applicable to adults in Korea. Future studies are needed to address these limitations.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 보건의료기술연구개발사업 지원에 의하여 이루어진 것임(과제고유번호 : HF23C0135). 본 연구의 표준 침도 시술 동의서의 감수를 맡아주신 김주미 박사님께 감사를 드립니다.

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