A proposal for writing a better death certificate

Article information

J Korean Med Assoc. 2018;61(4):259-267
Publication date (electronic) : 2018 April 12
doi : https://doi.org/10.5124/jkma.2018.61.4.259
1Department of Forensic Medicine, Seoul National University College of Medicine, Seoul, Korea.
2Institute of Forensic Science, Seoul National University College of Medicine, Seoul, Korea.
Corresponding author: Soong Deok Lee. sdlee@snu.ac.kr
Received 2018 March 05; Accepted 2018 March 19.

Abstract

Guidelines for writing death certificates have recently been released in various forms. However, the educational efforts of medical doctors do not seem to have led to significant improvements in the accuracy of death certificates. A death certificate can be considered as the process through which an individual's treatment sequence, and even life, is completed and summarized. Additionally, the decision about how to fill out a death certificate affects the amount of death compensation, the necessity of a legal investigation, and has implications for health care planning. However, the death certificate form used in Korea requires background knowledge of not only medicine, but also the legal system, which has placed a considerable burden on physicians in clinical practice. In addition to the continuous educational efforts of the community of physicians, other members of society should show appropriate appreciation and attention for the death investigation system. In the development of the system, the unique characteristics of the healthcare environment in Korea should be considered.

References

1. Lee YC, Park US, Park SG, Seo SW. How to write death certificate Seoul: Pacific Books; 2003.
2. Korean Medical Association. How to write and issue medical certificates Seoul: Korean Medical Association; 2015.
3. Statistics Korea. Korean Medical Association. Guideline for writing death certificates IV [Internet] Daejeon: Statistics Korea; 2015. 2018 Mar 4. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=333319.
4. Kim KS, Lim YS, Rhee JE, Suh GJ, Youn YK, Eo EK, Youm SL, Jeong YK, Lee YS. Problems in completing a death certificate. J Korean Soc Emerg Med 2000;11:443–449.
5. Yoon SH, Kim R, Lee CS. Analysis of death certificate errors of a university hospital emergency room. Korean J Leg Med 2017;41:61–66.
6. Statistics Korea. Annual report on the causes of death statistics [Internet] Daejeon: Statistics Korea; 2016. 2018 Mar 2. Available from: http://narastat.kr/metasvc/svc/SvcMetaDcDtaPopup.do?confmNo=101054.
7. Brooks EG, Reed KD. Principles and pitfalls: a guide to death certification. Clin Med Res 2015;13:74–82.
8. Myers KA, Farquhar DR. Improving the accuracy of death certification. CMAJ 1998;158:1317–1323.
9. Aung E, Rao C, Walker S. Teaching cause-of-death certification: lessons from international experience. Postgrad Med J 2010;86:143–152.
10. Lee D. The probative force of medical certificates: focusing on the certificate for injury. Korean Soc Law Med 2017;18:47–73.
11. Lee DH. Current state of issuing death certificates by emergency and clinical physician: with analysis on the determination of the cause and manner of death In : 41th Autumn Conference of the Korean Society for Legal Medicine; 2017 Nov 24; Seoul, Korea. Seoul: Korean Society for Legal Medicine; 2017.
12. Yang KM, Lee BW, Park JW, Lee S, Yun WJ, Park S, Lee MJ, Lee HY, Choi YS, Chung NE, Kim YH, Yoo SH, Kim JH. The predictive ratios of intoxicated deaths by police’s death scene investigation and doctor's death certificates in South Korea. Korean J Leg Med 2016;40:65–71.
13. Yoon BH. Overturned verdict on the murder case without dead body. Kukminilbo 2013. 03. 27. 2018 Mar 3. Available from: http://news.kmib.co.kr/article/view.asp?arcid=0007028152&code=11131900&sid1=kan.
14. Park JY. Three billion won of public official pension have been wrongly paid for the last five years. New1 2013. 10. 20. 2018 Mar 3. Available from: http://news1.kr/articles/?1368437.

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