"A Good Death Without Pain"... 8 out of 10 Adults Support Assisted Dignified Death
Report on "Trends and Tasks in Well-Dying Discussions"
92% of Respondents Willing to Discontinue Life-Sustaining Treatment
Nine out of ten adults in South Korea responded that they are willing to discontinue life-sustaining treatment when they become terminally ill. They consider a death with less pain and without burdening their family as a "good death." Additionally, more than eight out of ten people supported the legalization of "assisted dignified death."
More than 8 out of 10 adults in our country supported the legalization of 'assisted dying with dignity.'
View original imageThis is from a recent report by the Korea Institute for Health and Social Affairs titled "Trends and Tasks in Well-Dying Discussions for Future Society Preparation," which surveyed 1,021 adult men and women in April-May last year about their perceptions of death.
Among respondents, 91.9% expressed willingness to discontinue life-sustaining treatment according to the life-sustaining treatment decision system when becoming terminally ill. The reasons included feeling that life without the possibility of recovery is meaningless (68.3%) and not wanting to burden their family (56.9%).
Regarding the legalization of assisted dignified death, 82.0% were in favor. Assisted dignified death, also known as physician-assisted suicide, is when a terminal patient suffering extreme pain ends their life by self-administering medication prepared by a doctor. Those in favor cited reasons such as believing that continuing meaningless treatment is unnecessary (41.2%), that everyone has the right to decide their own death (27.3%), and that it can reduce the pain of dying (19.0%).
The research team stated, "The keywords commonly derived from literature reviews, surveys, and expert consultations were 'pain control' and 'respect for self-determination,'" and suggested measures such as identifying patients in pain blind spots, improving hospice awareness, expanding the scope of life-sustaining treatment discontinuation implementation, and activating well-dying education by life cycle.
When asked about the important factors for facing a good death, the largest group (20.1%) chose a death without pain. This was followed by family not having to care for them for a long time (18.5%), family not experiencing significant economic burden during caregiving (17.5%), and psychological preparation for death in advance (10.9%). The most needed service to prepare for a good death was pain relief that may occur at the end of life (62.7%), followed by support for treatment costs for terminal patients (56.8%).
80% Willing to Use Hospice and Palliative Care Services
Also, 81.1% of respondents indicated willingness to use hospice and palliative care services when they become terminal or in the dying phase. Those unwilling to use such services accounted for 18.9%. Hospice and palliative care services aim to provide medical care that alleviates physical pain and improves quality of life without forcibly extending life through life-sustaining treatment for terminal patients. The maximum usage period is set at 60 days.
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The main reason for unwillingness to use hospice and palliative care services was the perception that "it would be very costly," accounting for 49.7%. This was followed by "the perception that it is a place to wait for death" (43.5%), "feeling like giving up on the remaining life" (28.0%), "lack of knowledge about hospice and palliative care services" (18.7%), and "concern that no measures would be taken despite suffering from pain" (16.6%).
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