A Korean perspective on developing a global policy for advance directives

Bioethics
Soyoon KimMyongsei Sohn

Abstract

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 t...Continue Reading

Citations

Dec 25, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Bhumsuk KeamMison Chun
Jan 10, 2012·Nursing Research and Practice·So-Sun KimJuhee Lee
Nov 22, 2011·The Journal of Emergency Medicine·Ferdinando L MirarchiNathan Kottkamp
Oct 16, 2015·Geriatrics & Gerontology International·Dong Wook ShinJun-Hyun Yoo
Jul 10, 2014·The American Journal of Hospice & Palliative Care·In Ki ParkSo Yeon Oh

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