Journal of Korean Medical Science

Korean Acad Medical Sciences (대한의학회)
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Discordance between Physician and the General Public Perceptions of Prognostic Disclosure to Children with Serious Illness: a Korean Nationwide Study

  • Kim, Min Sun (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Lee, Jihye (Department of Biomedical Informatics, Seoul National University College of Medicine) ;
  • Sim, Jin-Ah (Department of Biomedical Science, Seoul National University College of Medicine) ;
  • Kwon, Jung Hye (Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kang, Eun Joo (Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Kim, Yu Jung (Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Lee, Junglim (Department of Hemato-Oncology, Daegu Fatima Hospital) ;
  • Song, Eun-Kee (Division of Hematology and Oncology, Department of Internal Medicine, Chonbuk National University Medical School) ;
  • Kang, Jung Hun (Department of Internal Medicine, Gyeongsang National University) ;
  • Nam, Eun Mi (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Kim, Si-Young (Department of Medical Oncology and Hematology, Kyung Hee University Hospital) ;
  • Yun, Hwan-Jung (Department of Internal Medicine, Chungnam National University Hospital) ;
  • Jung, Kyung Hae (Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, June Dong (Department of Pediatrics, Seoul National University College of Medicine) ;
  • Yun, Young Ho (Department of Biomedical Informatics, Seoul National University College of Medicine)
  • Received : 2018.05.02
  • Accepted : 2018.10.10
  • Published : 2018.12.03
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Abstract

Background: It is difficult to decide whether to inform the child of the incurable illness. We investigated attitudes of the general population and physicians toward prognosis disclosure to children and associated factors in Korea. Methods: Physicians working in one of 13 university hospitals or the National Cancer Center and members of the general public responded to the questionnaire. The questionnaire consisted of the age appropriate for informing children about the prognosis and the reason why children should not be informed. This survey was conducted as part of research to identify perceptions of physicians and general public on the end-of-life care in Korea. Results: A total of 928 physicians and 1,241 members of the general public in Korea completed the questionnaire. Whereas 92.7% of physicians said that children should be informed of their incurable illness, only 50.7% of the general population agreed. Physicians were also more likely to think that younger children should know about their poor prognosis compared with the general population. Physicians who opposed incurable illness disclosure suggested that children might not understand the situation, whereas the general public was primarily concerned that disclosure would exacerbate the disease. Physicians who were women or religious were more likely to want to inform children of their poor prognosis. In the general population, gender, education, comorbidity, and caregiver experience were related to attitude toward poor prognosis disclosure to children. Conclusion: Our findings indicate that physicians and the general public in Korea differ in their perceptions about informing children of poor prognosis.

Keywords

Acknowledgement

Supported by : Korea Health Industry Development Institute, Seokchun Daewoong Foundation

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