学校和工作释放评估评估
1Department of Family Medicine, Baylor College of Medicine, Houston, TX.
JAMA
|December 23, 1988
概括
初级保健医生面临的伦理挑战是,他们经常短时间缺席学校和工作. 需要新的方法来解决诸如说实话和发布评估中的保密性等问题.
科学领域:
- 医学伦理 医学伦理
- 主要护理医学 医疗保健
- 职业健康 职业健康 职业健康
背景情况:
- 由于轻微疾病的高缺勤率影响学校和工业.
- 初级保健医生 (PCP) 在进行学校和工作释放评估时面临道德困境.
- 当前的评估方法往往产生不满意的结果.
研究的目的:
- 识别和分析与学校和工作释放评估相关的伦理和专业困境.
- 评估这些评估的传统方法的有效性.
- 为初级保健医生提出替代解决方案.
主要方法:
- 对三个代表性案例研究进行诱导性分析,以确定问题.
- 演分析,以评估当前评估方法的有效性.
主要成果:
- 学校和工作释放评估提出了道德问题,如说实话,保密和模糊的职业界限.
- 传统的评估方法往往是不满意和无效的.
- 医生在管理患者的期望和职业责任方面面临困境.
结论:
- 初级保健医生应考虑拒绝超出其治疗作用的评估.
- 对评估的目的和局限性进行明确的沟通至关重要.
- 将评估整合到治疗环境中可能会提供一个更道德和更有效的框架.
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