• 보건행정학회지
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• 제28권3호
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• pp.222-225
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• 2018

Health policy is a historical product in the process of development, including the political and economic factors of the state as well as the social and cultural elements of the country. Bioethics began to debate the ethical questions that arise in the overall process of life's birth and death, and gradually evolved by presenting ethical directions for various social phenomena. Especially, according to the moral awakening of 'scientific medicine' which caused in some human problems in the rapidized scientific society from the late 19th century to the early 20th century, as a result of distress including the concept of various social relations, it is possible to say that it has reached the bioethics. Although health policy and bioethics are different in terms of starting and concept, they can be found in common with social, cultural, and political diversity in the times. In 2004, 'Bioethics Law' was enacted through the issue of research ethics in the life sciences. Therefore, in order to examine ethical aspects of current health policy direction and major issues, it can be divided into before and after enactment of 'Bioethics Law' in 2004. The authors would like to examine how the evolution of the ethical viewpoint on the health policy has changed in line with the enactment of the 'Bioethics Law' and how it is trying to solve it from an ethical point of view. Through the various events that took place in the 1990s and the 2000s, various discussions on bioethics were conducted in Korea. Prior to the enactment of the 'Bioethics Law,' ethical judgments of professions, distribution of healthcare resources, if the discussion focused on the ethical judgment of abortion, and the various events that appeared in the early 2000s became the beginning to inform that the ethical debate about the life, death, and dignity of human beings began in earnest in Korea with the enactment of the 'Bioethics Law.' Since then, 'Hospice and Palliative care Law' which was enacted in 2017, is based on the fact that the health policy of our country focuses on the treatment of the past diseases, health promotion, and delivery of health care services. It was an opportunity to let them know that even the quality problems were included. Therefore, considering the various circumstances, the ethical issue facing Korea's health care system in the future is the change of the demographic structure due to aging and what is to be considered as the beginning and the process of life in the overall process of life. It is the worry about how to die and when it sees as death. This has far exceeded the paradigm of traditional health care policies such as disease prevention and management and health promotion, and calls for innovative policy response at the national level that reflects the new paradigm, which in many cases creates a predictable ethical environment. And health policy should be shifted in the direction of future ethical review considering sustainability in the development process of future health care rather than coercive management.

• 보건행정학회지
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• 제19권2호
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• pp.1-20
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• 2009

This paper examines some relations on national crisis management and bioethics. This study stars to discuss that chance and risk of biotechnology which is the 21st century's pioneering core technology. This study reviews the traditional method that a nation(law) copes with the new scientific technique. The study also examines some difficulties of social agreement on the problems of bioethics because of nature of the rational disagreement. Then this paper attempts to incorporate the crisis of biotechnology, especially bioethics, in the system of national crisis management. this paper reviews the contents of the domestic "Act on Bioethics and Safety" on the side of the protection and restoration of crisis management. And this paper proposes some changes to manage the crisis of bioethics better, as it were, some problems of IRB and schems for improvement of it.

• 기술혁신학회지
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• 제8권2호
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• pp.702-731
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• 2005

This article examines the legislation process of bioethics from 1997 to 2003 in Korea through three phases from a policy network point of view. In the first phase, assemblymen proposed laws concerning bioethics and various policy agenda were shaped. In the second phase, MOHW(Ministry of Health & Welfare) and MOST(Ministry of Science & Technology) introduced bills separately and policy conflicts were increasingly deepened. In the third phase, after groping for policy coordination a single bill based on MOHW's proposal was deliberated and enacted. During these processes, actors in policy network were more enlarged, conflicting interactions were dominated, and the structure of policy network was alternated by centralized form and distributed form.

• 의료법학
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• 제10권1호
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• pp.11-38
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• 2009

"Bioethics" may have various meanings depending on its roles. It may mean professional ethics for scientists and physicians, etc. It may also mean an academic discipline using interdisciplinary approach as well as a philosophical or a legal approach. "Bioethics" as an interdisciplinary study should often deal with public policy on bioethical issues. I call this role bioethics as a study of bioethics policy, which has to be developed as a new discipline. From this perspective, I deal with bioethical issues relevant to a human life before birth. There are various and often conflicting arguments about the moral status of a human life before birth such as the fertilization argument, the argument of genetic identity, so-called the "14 days" argument focusing on the formation of primitive streak, the argument of sentient being, and Michael Sandle's argument of an embryo as a being between a thing and a person. I argue that each of them is reasonable. Thus we are faced with reasonable disagreement on the views over whether a human life before birth has the same right to life as that of a person or whether right to life may be considered to be a matter of degree. If we acknowledge reasonable disagreement, as John Rawls pointed out, we should tolerate the views from ours in a plural society. Therefore, we cannot help making a policy that allows abortion and embryonic research with some limitations. When we say a certain act is morally permissible, "moral permissibility" does not mean that the act is morally right for all. Rather it means that the act cannot help being morally allowed for some persons although the others do not believe its moral rightness because they cannot right now rationally persuade others to accept their view.

• 의료법학
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• 제22권3호
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• pp.57-95
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• 2021

생명윤리법에 따라 우리나라의 배아 보존기간은 최대 5년이다. 그러나 최근 관련 과학기술 발달 및 보존기간 제한이 배아생성권자 권리를 제한한다는 요구가 제기됨에 따라 본 연구는 국내·외 법률을 검토하고 쟁점을 도출하였다. 첫 번째 쟁점으로 보존된 배아는 임신목적 착상 시도를 그 목적으로 하며, 과학적 근거 등 충분한 정보에 근거한 숙고를 통해 배아생성권자의 자율성이 보호되도록 하는 것이 중요하다는 것이다. 두 번째는 배아 보존기관 관리 의무 관련 규정이 필요하다는 것이다. 세 번째는 배아의 특수한 지위를 고려하여, 배아 생성, 보존, 폐기 행위가 최소한의 범위에서 이루어지는 사회적 분위기를 형성하는 것이다. 이 쟁점을 바탕으로 합리적 제도 개선 방안 제안의 첫 번째는 구체적 보존기간을 법에 명시하는 것보다, 충분한 설명과 적절한 동의가 행사될 수 있는 환경조성 및 보존기간의 연장 사유 확대 우선 도입이다. 두 번째는 보존기관 관리의무 뿐 아니라 그 결과 나타날 수 있는 우려 등 현장 전반을 고려한 제도화가 필요하다는 것이며, 마지막은 연구목적 제공을 위한 이관, 타인의 임신목적 기증 등 배아의 향후 활용 방안을 고려한 관리 방식의 도입을 제안한다. 이 과정은 태어난 아이와 가족관계 등 전반적인 고찰 뿐 아니라, 충분한 사회적 논의와 합의를 통한 방식이 되어야 할 것이다.

• 디지털융복합연구
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• 제14권5호
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• pp.349-358
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• 2016

본 연구는 한국 간호학생의 간호전문직관, 생명 및 죽음윤리의식간의 관계를 확인하기 위함이다. 편의추출에 의해 총 284명의 간호 대학생을 모집하였고 횡단연구방법을 적용하였다. 간호전문직관은 직업관(p<.001), 윤리인식(p<.001), 윤리적 가치관(p<.001)에 통계적으로 유의하였고, 죽음윤리의식은 윤리교육 여부(p<.05)와 윤리적 가치관(p<.05)에 유의한 것으로 나타났다. 간호전문직관과 생명 및 죽음윤리의식 간에는 강한 양의 상관관계가 있었으며, 간호직업관에 유의한 예측변수는 죽음윤리인식으로 설명력은 15.0%이었다. 본 연구결과는 간호 학생의 간호전문직관, 생명 및 죽음윤리의식의 가치를 이해하는데 도움이 될 것이다.

• 디지털융복합연구
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• 제16권4호
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• pp.251-258
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• 2018

본 연구는 간호대학생의 비판적 사고성향과 생명윤리의식 간의 관계에서 간호전문직관의 매개효과를 파악하고자 시도되었다. B와 C시 2개의 간호대학에 재학 중인 264명을 대상으로 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 SPSS WIN 23.0을 이용하여 분석하였다. 연구결과 간호대학생의 비판적 사고성향, 간호전문직관 및 생명윤리의식 간에는 유의한 정적 상관관계가 있었으며, 비판적 사고성향과 생명윤리의식 사이의 관계를 간호전문직관이 완전 매개하는 것으로 나타났다. 따라서 간호대학생의 생명윤리의식을 향상시키기 위해서는 비판적 사고성향 뿐만 아니라 간호전문직관을 향상시킬 수 있는 프로그램의 개발 및 적용이 필요하다.

• 한국융합학회논문지
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• 제13권3호
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• pp.379-390
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• 2022

본 연구의 목적은 COVID-19 팬데믹 상황에서 임상 간호사가 경험하는 생명윤리의식 딜레마를 깊이 분석하고 이해함으로써 임상 간호사의 대처 능력을 향상시키기 위한 기초자료를 제공하는 것이다. 본 연구는 COVID-19 상황 속 임상간호사가 겪는 생명윤리의식 딜레마의 본질을 이해하기 위해 임상간호사를 직접 면담한 뒤 Colaizzi(1978)의 현상학적 방법을 이용해 분석하였다. 연구 결과 '인간 존중의 원칙이 위배된 상황을 마주해야 하는 괴로움 ', '선행 및 악행금지 원칙을 지킬 수 없는 안타까움과 혼란', '정의의 원칙 이행 및 불이행에 대한 회의감' 총 3가지 주제모음을 도출하였다. 연구결과를 바탕으로 임상간호사가 팬데믹 상황에서 겪는 생명윤리의식 딜레마에 대한 대처능력을 높이기 위해서는 임상간호사 교육과 정책 수립, 간호사 처우개선 노력 등이 필요하다.

• Journal of Hospice and Palliative Care
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• 제21권1호
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• pp.1-8
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• 2018

보라매 사건 이후 근 20년이 지나 국가위원회의 권고를 기반으로 연명의료결정법이 2018년 2월 4일 제정 시행되었다. 그러나 법률의 제정 과정에서 이해관계 당사자 및 관련자들의 의견 차이로 일부 내용은 수정 또는 삭제되었으며 제정 막바지에 호스피스 완화의료에 대한 내용이 덧붙여졌다. 이로 인해 국가위원회의 권고에 담긴 내용과는 일부 다르게 법률이 제정되어 여러 문제점들이 나타나고 있다. 그러므로 현행 법률 시행 초반 연명의료결정 수행 현장을 꼼꼼히 모니터링하고 다양한 관련자들의 의견을 잘 청취하여 문제점을 파악하고 해결 방안을 마련하여야 할 것이다. 이를 토대로 법률을 개정하여 입법 목적인 '환자의 최선의 이익을 보장하고 자기결정을 존중하여 인간으로서의 존엄과 가치를 보호'가 충실히 이루어질 수 있도록 하여야 할 것이다.

• 보건행정학회지
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• 제31권4호
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• pp.437-450
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• 2021

Background: With the development of the information technology industry and the increasing importance of health information, there is a need to analyze the current certification system for health information management education. This study compared and analyzed the health information management education accreditation system between the Republic of Korea and the United States. Methods: Descriptive analysis and quantitative methodologies were used to compare the education accreditation system and understand the current status of health information management curriculum run by universities in the Republic of Korea and the United States. Results: Regardless of the academic year, the Republic of Korea had one certification system based on subject-based criteria. However, the United States had a certification system for associate, baccalaureate, and master's degree programs with competency-based criteria. The accreditation system was different in terms of the way the curriculum is certified and the options for the different levels of university degree programs. Conclusion: Accordingly, it is necessary to consider improving the quality of health information management personnel at different levels by improving the current accreditation system and differentiating the curriculum according to the degree program levels in the Republic of Korea.