A Tale of Two Standards: Drift and Inertia in Modern Korean Medical Law
A Tale of Two Standards: Drift and Inertia in Modern Korean Medical Law
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两个标准的故事：现代韩国医疗法中的漂移和惯性
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
S. Harmon
中科院分区：
文献类型：
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作者：
S. Harmon
与所有国家一样，韩国的民族性格是由各种地理和历史因素塑造的。韩国经验中出现的一些特征是“家庭主义”和“科学主义”，这两者都已经并且正在对医疗法的内容和适用产生根本性影响。这些现象，加上最近在韩国国内发生的事件（例如：医生罢工（2000年）和更重要的黄氏丑闻（2005年））和韩国外部事件（例如：“知情同意”的传播（1980年代）、人类基因组计划的启动（1990年）和克隆羊多莉（1997年）），促成了韩国最近一系列的治理活动。鉴于最新的立法提案，我们探讨了韩国医疗法的两个领域，以期揭示其发展轨迹。首先，我们研究临床环境中医患关系的治理，特别关注同意和责任。其次，我们研究了医学研究环境中生物技术研究的法律伦理控制，特别关注同意、质量控制和限制。我们的结论是，这两个领域似乎正沿着两条截然不同（如果不是分歧）的道路行驶；前者则偏离传统做法，后者则陷入不平衡并受对立利益的支配。
Like all nations, the national character of Korea has been shaped by a variety of geographic and historical factors. Some of the characteristics that have emerged from Korea’s experience are ‘familism’ and ‘scientism’, both of which have had, and are having, a fundamental impact on the content and application of medical law. These phenomena, combined with recent events both inside Korea (eg: a physicians’ strike (2000) and the more important Hwang scandal (2005)) and outwith (eg: the spread of ‘informed consent’ (1980s), the commencement of the Human Genome Project (1990), and the cloning of Dolly the Sheep (1997)), have contributed to a flurry of recent governance activity in Korea. Given the latest legislative proposals offered, we explore two areas of Korean medical law with a view to exposing their trajectories. First, we examine the governance of the patient-physician relationship in the clinical setting, paying particular attention to consent and to liability. Second, we examine the legal-ethical control of biotech research in the medical research setting, paying particular attention to consent, quality control and limits. We conclude that these two arenas appear to be traveling down two dramatically different (if not divergent) roads; in the case of the former, drifting away from traditional practices, and in the case of the latter, remaining mired in imbalance and dominated by antithetical interests.