透析療法における倫理問題
Vivekanand Jha1, Dominique E Martin2, Joanne M Bargman3
1The George Institute for Global Health, New Delhi, India; University of Oxford, Oxford, UK.
Lancet (London, England)
|February 28, 2017
まとめ
末期性腎臓病の治療 特に透析は グローバルな倫理的な課題です これらの問題への対処は 患者の福祉と公平な医療政策に不可欠です
科学分野:
- 公衆衛生
- バイオエシック
- 健康政策
背景:
- 末期性腎疾患 (ESKD) の治療は,世界的な経済と公衆衛生上の重要な問題です.
- 腎臓置換治療は 難解な実用的で倫理的なジレンマを伴います
- ESKD治療の意思決定のための既存の倫理的分析とガイドラインは限られている.
研究 の 目的:
- 世界的な透析提供における主要な倫理問題について概要を述べる.
- これらの倫理的課題のさらなる調査と管理のための優先事項を特定する.
- 透析医療における実践と政策の指針を提示する.
主な方法:
- 全世界の透析提供における倫理的検討の検討
- 患者,臨床医,政策立案者にとって重要なジレンマを特定する.
- 倫理的実践と政策に関する予備的な勧告のまとめ
主要な成果:
- ESKDの治療は患者の利益,ケアへのアクセス,正義に関する倫理的な懸念を提起します.
- 経済的影響を最小限に抑え 医療の質を保証し 脆弱なグループを保護することが重要です
- 倫理的な分析と意思決定者のための実践的な指針が必要である.
結論:
- 世界中での透析の提供は,多くの倫理的な問題を慎重に検討する必要があります.
- これらのジレンマを解決することは 患者の成果と医療の公平性を改善するために不可欠です
- 堅固な倫理的枠組みと実践的な指針の開発は,グローバルなESKD管理の優先事項です.
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