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Impact of perception of socioeconomic burden on advocacy for patient autonomy in end-of-life decision making: a study of societal attitudes

Cited 26 time in Web of Science Cited 24 time in Scopus
Authors
Kwon, Y C; Shin, D W; Lee, J H; Heo, D S; Hong, Y S; Kim, S-Y; Yun, Y H
Issue Date
2008-11-11
Publisher
SAGE Publications
Citation
Palliat Med. 2009 Jan;23(1):87-94. Epub 2008 Nov 7.
Keywords
AdultAgedAttitude to Death*Decision MakingFemaleHumansMaleMiddle Aged*Personal AutonomySocioeconomic FactorsTerminal Care/economics/*psychologyTerminally Ill/*psychologyYoung Adult
Abstract
We investigated the impact of perception of socioeconomic burden on beliefs regarding a patient's autonomy in end-of-life (EOL) decision making. We also sought to identify the characteristics of individuals who advocate patient autonomy and their attitudes toward other EOL issues. A total of 1055 individuals from the Korean general population were interviewed through a telephone survey using a structured questionnaire that was designed to investigate public attitudes toward various EOL issues. Of 1019 individuals included in the analysis, 635 (62.3%) specified the patient and 221 (21.7%) the family, when asked who is the appropriate decision maker in terms of EOL decisions in the absence of perception of socioeconomic burden. In contrast, the numbers were 458 (44.9%) and 500 (49.1%), respectively, if substantial burden was assumed. Respondents who favoured the patient's right to make decisions regardless of perception of socioeconomic burden numbered only 312 (30.6%) and were likely to be younger and have knowledge of hospice than who favoured family decision. Former group also favoured the disclosure of terminal illness to patients, withholding life-sustaining treatment, and preparation of advanced directives. Societal attitudes toward patient autonomy were significantly influenced by perception of socioeconomic burden. Open and balanced discussion about burden to family and adequate welfare support are thus suggested.
ISSN
1477-030X (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18996980

http://pmj.sagepub.com/cgi/reprint/23/1/87.pdf

https://hdl.handle.net/10371/46571
DOI
https://doi.org/10.1177/0269216308099244
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College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
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