• 제목/요약/키워드: Right to Self-Determination

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의료소비자의 비급여 진료에 대한 자기결정권 행사와 관련 요인 (Factors Associated with the Exercise of Right to Self-determination about non-benefit Medical Services)

  • 김지은;함명일;이혜원;김선정
    • 한국병원경영학회지
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    • 제27권1호
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    • pp.11-19
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    • 2022
  • Purposes: This study was to investigate intention to exercise the patient's right of self-determination on adopting the non-benefit medical services and was to identify factors associated with intention to self-determined decision. Methodology: A total of 1,000 adult respondents aged 20 to 65 years were recruited using stratified random sampling and surveyed by online. Multivariate logistic regression analysis was performed to identify factors associated with intention to self-determined decision using SAS 9.4(SAS Institute Inc. Cary, NC, USA). Findings: 61.9% of total participants(n=592) had intention to exercise patient's right of self-determination on adopting the non-benefit medical services. Significant differences were observed in the exercise of self-determination in relation to prior explanation and opportunity for self-determination. Practical Implications: This study suggested that explanation duty of provider might influence on increasing intention to exercise the patient's right of self-determination. Considering appropriate use of non-benefit services, it is important to enhance explanation duty of provider.

의료행위와 대리승낙 (A Review on Consent to the Medical Treatment in the case of Foreign Determination)

  • 이석배
    • 의료법학
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    • 제15권1호
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    • pp.303-333
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    • 2014
  • The right to self-determination in regard to one's body is a key element of human dignity, privacy and freedom. It is constitutionally enshrined in the guarantee of human dignity, in the general right of personality and, most concretely of all, in the right to physical integrity. In principle No-one may trespass another person's body against his will, whether this act improves his physical condition or not. This right of self-determination applies equally to healthy and to sick people. Hence everyone has the right either to permit or to refuse a medical treatment, unless he can not make a rational decision. If the person does not consent himself, for whatever reason, another one must do for him as guardian. Representation in consent to medical treatment is therefore the exception of self-determination rule. This article explored, 1. who can consent to the medical treatment in the case of the mentally incapacitated adult and the infant, 2. what kind of consent to the medical treatment can the deputy determinate for the mentally incapacitated adult and the infant, 3. when the deputy can not determinate without permission of the court, and 4. what can the doctor do in the case of conflict between minors and guardians.

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Tackling Privacy Paradox : Protecting Right to Self-determination of Personal Information by Estimating the Economic Value of Personal Information and Visualizing the Price

  • Lim, Sejoon
    • International Journal of Internet, Broadcasting and Communication
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    • 제13권2호
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    • pp.244-259
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    • 2021
  • The economic value of personal information has its importance as an objective measure of valuation in commercial, legal, and policy areas. Until recently, however, personal information subjects have not properly recognized the economic value of personal information, which has led to the inability to exercise the right to self-determination of personal information by unconsciously agreeing to the terms and conditions of personal information service without recognizing the value of personal information provided to the service provider when subscribing to a specific service. Therefore, we will examine the methodologies for calculating the economic value of personal information and the practical guarantee of the right to self-determination of personal information and analyze the economic value of personal information through a survey. Also, we would like to propose various ways for the subject of personal information with limited cognitive resources to visually accept the economic value of personal information required by the terms and conditions and suggest the optimal visualization of personal information economic value to exercise the right to self-determination of personal information. To do so, in this paper, we have conducted two survey experiments to estimate the economic value of personal information. Based on the price of personal information by category retrieved from surveys, we have visualized the price of personal information in various forms and asked respondents to choose the optimal infographic that best represents the value of personal information visually. As a result, we have proposed an optimal usage of the infographic to 'nudge' information subjects about their right to self-determination of personal information, therefore opening the possibility of diminishing privacy paradox.

무조건적 자기정보접근권 부여에 대한 국내외 규제현황 및 사례분석을 통한 개선방안 연구 (A Study on the Improvement of the Unconditional Right to Informational Self-Access Based on the Status of Domestic and Foreign Legislation and It's Application to Domestic Corporations)

  • 배진호
    • 정보보호학회논문지
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    • 제27권3호
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    • pp.591-605
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    • 2017
  • 개인정보자기결정권이란 "자신에 관한 정보가 언제 누구에게 어느 범위까지 알려지고 또 이용되도록 할 것인지를 그 정보주체가 스스로 결정할 수 있는 권리"로서 2005년 헌법재판소에서 헌법상으로 인정한 권리이다. 개인정보 자기결정권 증에는 정보주체가 정보보유자가 보유중인 본인의 정보에 대한 현황 및 처리내역을 열람할 수 있도록 하는 자기정보접근권이 있다. 이러한 자기정보접근권을 보장하기 위하여 개인정보와 관련된 각종 법률에서 정보보유자에게 개인정보의 처리에 관한 사항을 정보주체에게 무조건적으로 통지하도록 의무(이하 "무조건적 자기정보접근권")를 부여하고 있다. 본 논문에서는 이러한 무조건적 자기정보접근권 부여에 대한 국내 법률 현황 및 외국의 규제 현황을 분석한다. 이어서 국내 기업들의 대응 사례를 소개하고, 관련 문제점 및 개선방안을 제시하며 결론을 낼 것이다.

장애인 자립생활의 구성요인 중 자기결정권과 역량강화가 공동체관계 및 생산성에 미치는 영향 (Of the Factors Organizing Independent Living of the Disabled, the Effect of Self-Determination Right and Empowerment on the Community Relation and Productivity)

  • 이채식
    • 재활복지
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    • 제17권4호
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    • pp.221-244
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    • 2013
  • 본 연구는 중증장애인을 대상으로 자립생활의 구성요인 중 자기결정권과 역량강화가 공동체 관계 및 생산성에 어떻게 영향을 미치는지 탐색적으로 검증하였다. 이를 위해 2012년 5월부터 7월까지 약2개월에 걸쳐 장애인자립생활센터 및 인권센터 이용 장애인을 대상으로 자료를 수집하였다. 연구결과 첫째, 장애인의 자기결정권 수준은 연령, 학력, 배우자 유무, 수급 여부, 월소득 유무, 거주형태, 장애 발생시기, 장애등급 등의 변인에 따라 유의미한 차이가 나타났고, 역량강화 수준에서는 학력과 장애등급 등의 변인에 따라 유의미한 차이를 보이는 것으로 나타났다. 둘째, 장애인의 공동체관계 형성 수준은 연령, 학력, 배우자 유무, 거주형태, 장애 발생시기, 장애등급 등의 변인에 따라 유의미한 차이를 보이는 것으로 나타났고, 생산성 수준에서는 학력, 배우자 유무, 수급 여부, 월소득 유무, 중복장애 여부, 장애등급 등의 변인에 따라 유의미한 차이를 보이는 것으로 나타났다. 셋째, 장애인의 자기결정권과 역량강화가 공동체관계에 미치는 영향을 살펴본 결과, 자기결정권, 역량강화 변인 모두 장애인들의 공동체관계에 유의미한 정(+)적 영향을 미치는 것으로 나타났다. 넷째, 장애인의 자기결정권과 역량강화가 생산성에 미치는 영향을 살펴본 결과 역량강화 변인만이 장애인들의 생산성에 유의미한 정(+)적 영향을 미치는 것으로 나타났다. 따라서 향후 장애인의 공동체관계 및 생산성을 높여 자립생활을 영위해나가기 위해서는 자기결정권과 역량강화가 중요한 변수임을 확인할 수 있었다. 이를 위해서는 사회복지실천 및 재활과정에서 자기결정권 및 역량강화의 중요성을 인식하고, 이와 관련된 다양한 프로그램을 개발하고 활성화 시켜나가야 할 것이다.

의료행위와 환자의 자기결정권에 관한 고찰 - 대법원 2014. 6.26. 선고 2009도14407 판결을 중심으로 - (A Study of the Medical Practice and the Right of Patients to Self-determination - Focusing on Supreme Court Decision 2009DO14407 Delivered on June 24, 2014 -)

  • 김영태
    • 의료법학
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    • 제15권2호
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    • pp.3-29
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    • 2014
  • The Supreme Court made a decision that the doctor cannot be punished for not taking a blood transfusion to the patient, depending on the patient's will to refuse the blood transfusion on June 24, 2014. The reason is that, in a special situation of conflict between the right of patients to self-determination and the duty of care, and when it was impossible to compare whether which has the superior value, if the doctor made a medical practice to respect either of those two values according to the professional sense, he cannot be punished. In principle, the doctor should make medical practices according to the patient's will. However, if the patient's life was at stake, I think, the doctor is obliged to try his best to save the life of patient. Yet to entrust the patient's life to the doctors professional sense, is to give up the obligation of the country to protect lives. In this regard, I think that the Supreme Court Decision should be reviewed, and that an ongoing research is needed.

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일부 지역 치위생(학)과 학생들의 자기결정성이 수업참여에 미치는 영향: 교육자의 피드백 유형의 매개효과를 중심으로 (The effect of some local dental hygiene and students' self-determination on class participation: Focusing on the mediating effect of educators' feedback types)

  • 장경애
    • 한국치위생학회지
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    • 제21권4호
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    • pp.481-489
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    • 2021
  • Objectives: This study was conducted to understand the effect of learners' self-determination on class participation, focusing on the feedback type of educators. Methods: A survey was conducted from May 1 to May 31 2021 on dental hygiene students, and a total of 151 valid responses were analyzed. The questionnaire consisted of general characteristics, self-determination, class participation, and educator's feedback type. The analysis method used correlation analysis and hierarchical regression analysis. Results: In relation to self-determination, class participation, and feedback type of educators, self-determination was positive feedback (r=0.338, p<0.01), class participation was corrective feedback (r=0.418, p<0.01), and positive feedback was correction (r=0.742, p<0.01). As a result of the mediating effect of the educator's feedback type in the relationship between self-determination and class participation, it was found to be significant by partially mediating positive and corrective feedback. Conclusions: It was found that the right to self-determination influences class participation based on positive feedback and corrective feedback of educators. It relates to efforts to strengthen learners' self-determination and provide appropriate types of feedback from educators.

존엄사에 대한 미국의 법제 (The Legal Framework of the Death with Dignity in U.S.A.)

  • 김장한
    • 의료법학
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    • 제9권2호
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    • pp.53-75
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    • 2008
  • The end of life problem in the United States has been evolved from the development of concept of brain death over last 50 yr. The invention of ventilator and the development of emergency medicine also played a key role to elongate the end stage of life and which caused the American people to ask a question about the patients self determination and refusing the unwarranted medical treatment in the view of the death with dignity. With regard to the patient unable to self determination, surrogate decision was also considered. To guarantee the self determination, The patient self determination act also enacted on the level of Federal regulation in 1990s. But no law has effectively dealt with the situation when medical treatment became futile. Along with the significant debates on literature and court cases. The American Medical Association's Council on Medical and Judical Affairs presented formal opinion and the Texas was the first states to regulate the medical futile situation in 1999. Even though that definition was in controversy, the concept of medical futility mainly focused on the doctors' right to refuse the treatment.

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올바른 개인정보자기결정권 행사를 위한 프라이버시 리터러시 수준 측정에 관한 연구 (A Study on the Privacy Literacy Level Measurement for the Proper Exercise of the Right to Informational Self-Determination)

  • 박향미;유지연
    • 정보보호학회논문지
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    • 제26권2호
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    • pp.501-522
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    • 2016
  • 디지털시대에 정보는 가치창출의 원천이다. 지식 및 정보의 중요성이 높아지는 만큼 관련된 위험 및 위협 역시 증가하는 추세다. 정보는 한 번 유출되면 완전한 회수가 힘들고 2차 3차 유포는 쉽기 때문에 위험성이 높다. 특히 개인정보는 활용성이 높기 때문에 주요표적이 된다. 하지만 정보주체는 자신의 정보 활용에 대한 동의는 하지만 제공 후 처리는 모르는 등 온전하게 개인정보자기결정권을 행사하기 힘든 상황이다. 이에 본 논문은 개인정보자기결정권이 올바르게 행사될 수 있도록 프라이버시 리터러시 수준 측정 모델 개발을 목적으로 한다. 정보주체들의 현재 정보보호에 대한 지식수준과 이해의 정도, 실제 적용하는 능력을 파악하기 위하여 프라이버시 리터러시의 개념과 지수를 제시한다. 본 지수를 통하여 정보주체의 선택능력을 강화하고 개인정보의 보호와 활용에 대한 판단 및 결정능력을 증진하고자 한다.

유아의 행동억제가 자기결정성에 미치는 영향: 어머니의 양육불안과 자율성 지지의 순차매개효과 (Effects of Behavioral Inhibition in Young Children on Self-Determination: Sequential Mediating Effects of Mother's Parenting Anxiety and Autonomy Support)

  • 김지효;신나리
    • 한국보육지원학회지
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    • 제19권6호
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    • pp.97-113
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    • 2023
  • Objective: The purpose of this study is to investigate the effect of young children's behavioral inhibition on self-determination, examining the sequential mediating effects of mothers' parenting anxiety and autonomy support. Methods: Participants in this study were 225 mothers with children aged 6 years. An online survey was conducted, and SPSS Statistics 23.0 was used for basic analysis. The research model used the Process Macro 4.0 program. Results: The higher the level of behavioral inhibition, the lower the child's self-determination. Furthermore, a mediating effect was confirmed when parenting anxiety was added. However, in the single mediation model and the sequential mediation model in which autonomy support was added, the direct effects of behavioral inhibition temperament and parenting anxiety on self-determination disappeared. As a result, behavioral inhibition characteristics were found to have an indirect effect on self-determination through the sequential mediating effects of mother's parenting anxiety and autonomy support. Conclusion/Implications: If a mother with a child with a behaviorally inhibited temperament properly handles the negative emotions experienced during parenting based on her understanding of the child and supports the child to have a high degree of autonomy, she can enhance the child's right to self-determination.