The Life-Sustaining Treatment Decision Scheme in Korea: Current Status and Achievements

Abstract

This article examines the outcome of the Life-Sustaining Treatment Decision Scheme (LSTDS) as implemented through the 1st Masterplan for Hospice and Life-Sustaining Treatment. The public perception of LSTDS has improved. The scheme is more accessible now that the infrastructure has expanded. It has enhanced its counseling workforce and developed and implemented education programs for medical staff and counselors. With participation in the LSTDS made subject to performance evaluations and integrated into the medical service fee system, the number of medical establishments accommodating the scheme has increased, leading to a significant rise in physician- consented implementations of patients’ wishes regarding life-sustaining treatment. Based on these findings, this article identifies the aspects of the scheme that should be further expanded and improved in such a way as to better help individuals to exercise their right to self-determination and conclude their lives with dignity.