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JKM > Volume 41(3); 2020 > Article
Kim: Usage of informed consent form for Bee-venom pharmacopuncture Therapy at korean medicine hospitals and Proposal for development of a standard informed consent form

Abstract

Objectives

We investigated the current status of the consent form for bee-venom pharmacopuncture therapy, which is using in Korean medicine hospitals. We suggest the development of a standard informed consent form.

Method

Through the questionnaire survey, status of using informed consent form was identified at 24 Korean medicine hospitals. We analyze different types of informed consent form, which was developed by each hospitals. We investigated the types of informed consent forms for various medical procedures through electronic searches. A standard informed consent form for bee-venom pharmacopuncture therapy was developed based on the medical law and the standard informed consent form for medical procedures developed by Korea Fair Trade Mediation Agency.

Result

In our survey, 65% of the hospitals do not use consent well, only 35% of the hospitals use informed consent form, and the most hospitals use self-developed informed consent form. As a result of analyzing the contents of informed consent form used in each hospitals, the explanation of diagnosis, treatment precautions, suggestions for other treatments, consequences of not performing the scheduled procedure, possibility of treatment change was insufficient. 48% of hospitals manage consent in recording on a chart, 39% in scanned documents, and 13% in digital electronic consent form.

Conclusion

A standard informed consent form for Bee-venom pharmacopuncture therapy include diagnosis, effectivness, necessity, indications, method, skin reaction test, hypersensitivity questionnaire, treatment precautions, possible hypersensitivity reactions and countermeasures, suggestions for other treatments, consequences of not performing the scheduled procedure, possibility of treatment change and the name of doctor.

Fig. 1
동의서 활용 현황
jkm-41-3-66f1.gif
Fig. 2
동의서 보관 형식
jkm-41-3-66f2.gif
Fig. 3
병원별 동의서에 포함된 항목 분석
jkm-41-3-66f3.gif
Table 1
각 한방병원에서 사용중인 동의서의 포함 항목 분석
병원별 현황 합계
동의서항목 강동경희 경희의료원 동국분당 동국일산 대전둔산 대전서울 대전천안 대전청주 대구한의 모커리 부산대 원광익산 자생 포함개 (비율 %) 미포함개 (비율 %)
진단명 O O X O X X X X X O O O X 6 (46%) 7 (54%)
시술명 O O O O O O O O O O O O O 13 (100%) 0 (0%)
환자의 현재상태 O O O O O O O O O O O X O 12 (92%) 1 (8%)
시술의 목적 및 효과 O O X O O O O O O O O O O 12 (92%) 1 (8%)
시술 필요성, 과정 및 방법 O O X O O O O O O X O O O 11 (85%) 2 (15%)
발현 가능한 합병증 내용정도 및 대처방법 O O O O O O O O O O O O O 13 (100%) 0 (0%)
시술 관련 주의사항(시술후관리에 필요한사항) O X X X O O O O X O O O X 8 (62%) 5 (38%)
예정된 시술이외의 시행가능한다른 치료 방법 X X X O O O O O O X O X O 8 (62%) 5 (38%)
예정된 시술을 시행하지않았을 때의 결과 X X X O O O O O X X O X X 7 (54%) 6 (46%)
시술 방법의 변경 또는시술 범위의 추가 가능성 O X X O X X X X X X X X X 2 (15%) 11 (85%)
설명 및 시술에 참여하는주된 한의사의 성명 O O X O O O O O O O O O O 12 (92%) 1 (8%)

O 표시는 포함, X 표시는 미포함을 의미함.

참고문헌

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