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Differences in perspectives of pediatricians on advance care planning: a cross-sectional survey
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Song, In Gyu | - |
dc.contributor.author | Kang, Sung Han | - |
dc.contributor.author | Kim, Min Sun | - |
dc.contributor.author | Kim, Cho Hee | - |
dc.contributor.author | Moon, Yi Ji | - |
dc.contributor.author | Lee, Jung | - |
dc.date.accessioned | 2020-10-06T01:54:15Z | - |
dc.date.available | 2020-10-06T11:00:52Z | - |
dc.date.issued | 2020-09-18 | - |
dc.identifier.citation | BMC Palliative Care. 2020 Sep 18;19(1):145 | ko_KR |
dc.identifier.issn | 1472-684X | - |
dc.identifier.uri | https://hdl.handle.net/10371/168991 | - |
dc.description.abstract | Background
The increase in the number of pediatric patients with complex health conditions necessitates the application of advance care planning for children. Earlier, withdrawal of life-sustaining treatment was taboo in the medical society in South Korea due to the history of such practice being punishable by law, and physicians tended to pursue aggressive treatment. With changes in public opinion on end-of-life care, the Korean government enacted a new law that protect human dignity by respecting patients self-determination and facilitating advance care planning. However, little is known about current state of advance care planning for pediatric patients. The study aimed to assess perceptions regarding advance care planning among South Korean pediatricians and clarify any differences in perception among pediatric subspecialties. Methods This study was an observational cross-sectional survey that used a web-based self-report questionnaire. Participants comprised of pediatricians currently caring for children with life-limiting conditions in 2018. Results Of the 96 respondents, 89 were included in the analysis. In a hypothetical patient scenario, more hemato-oncologists and intensivists than neonatologists and neurologists preferred to provide comfort care than aggressive treatment. While 72.2% of hemato-oncologists reported that they usually or always discuss advance care plans with parents during treatment, more than half of other pediatricians reported that they seldom do so. Furthermore, 65% of respondents said that they never discuss advance care planning with adolescent patients. Moreover, there were no notable differences among subspecialties. The most prevalent answers to factors impeding advance care planning were lack of systemic support after performing advance care planning (82.0%) and uncertain legal responsibilities (70.8%). Conclusions The pediatricians differed in their experiences and attitudes toward advance care planning based on their subspecialty. Consequently, institutional support and education should be provided to physicians so that they can include children and families in discussions on prognosis. | ko_KR |
dc.description.sponsorship | The authors disclose receipt of the following financial support for the research, authorship, and/or publication of this article: this work was supported by the Korea National Institute for Bioethics Policy, awarded by the 2018 Bioethics Policy Research Program and partially by the National Cancer Center (No. 1932570–1). The views expressed in this paper are the views of the authors and do not necessarily reflect those of the funders. The funders had no influence on the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BMC | ko_KR |
dc.subject | Advance care planning | - |
dc.subject | Pediatrician | - |
dc.subject | Palliative care | - |
dc.subject | Prognosis | - |
dc.title | Differences in perspectives of pediatricians on advance care planning: a cross-sectional survey | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 송인규 | - |
dc.contributor.AlternativeAuthor | 강성한 | - |
dc.contributor.AlternativeAuthor | 김민선 | - |
dc.contributor.AlternativeAuthor | 김초희 | - |
dc.contributor.AlternativeAuthor | 문이지 | - |
dc.contributor.AlternativeAuthor | 이정 | - |
dc.identifier.doi | doi.org/10.1186/s12904-020-00652-8 | - |
dc.citation.journaltitle | BMC Palliative Care | ko_KR |
dc.language.rfc3066 | en | - |
dc.rights.holder | The Author(s) | - |
dc.date.updated | 2020-09-20T03:31:38Z | - |
dc.citation.number | 1 | ko_KR |
dc.citation.startpage | 145 | ko_KR |
dc.citation.volume | 19 | ko_KR |
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