Document Detail


A Korean perspective on developing a global policy for advance directives.
MedLine Citation:
PMID:  20136819     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite the wide and daunting array of cross-cultural obstacles that the formulation of a global policy on advance directives will clearly pose, the need is equally evident. Specifically, the expansion of medical services driven by medical tourism, just to name one important example, makes this issue urgently relevant. While ensuring consistency across national borders, a global policy will have the additional and perhaps even more important effect of increasing the use of advance directives in clinical settings and enhancing their effectiveness within each country, regardless of where that country's state of the law currently stands. One cross-cultural issue that may represent a major obstacle in formulating, let alone applying, a global policy is whether patient autonomy as the underlying principle for the use of advance directives is a universal norm or a construct of western traditions that must be reconciled with alternative value systems that may place lesser significance on individual choice. A global policy, at a minimum, must emphasize respect for patient autonomy, provision of medical information, limits to the obligations for physicians, and portability. And though the development of a global policy will be no easy task, active engagement in close collaboration with the World Health Organization can make it possible.
Authors:
Soyoon Kim; Ki-Hyun Hahm; Hyoung Wook Park; Hyun Hee Kang; Myongsei Sohn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Bioethics     Volume:  24     ISSN:  1467-8519     ISO Abbreviation:  Bioethics     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-08     Completed Date:  2010-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704792     Medline TA:  Bioethics     Country:  England    
Other Details:
Languages:  eng     Pagination:  113-7     Citation Subset:  E; IM    
Affiliation:
Yonsei University College of Medicine, 250 Seongsanno, Seodaemun-gu, Seoul, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Advance Directives / ethics,  legislation & jurisprudence*
Cultural Diversity*
Humans
International Cooperation*
Korea
Medical Tourism
Policy Making*
Social Values*
World Health Organization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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