徒劳和共享的决策
Michael A Rubin1, Jenny Riecke2, Elizabeth Heitman3
1Department of Neurology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-8855, USA; Department of Neurological Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-8855, USA.
导航医疗徒劳需要平衡患者的自主权与医生责任. 不断发展的医学科学和决策过程有助于应对这些复杂的伦理挑战.
科学领域:
- 临床医学 临床医学
- 医学伦理 医学伦理
- 医疗保健决策 - - 医疗保健决策
背景情况:
- 医学徒劳在临床实践中是一个持续的伦理挑战.
- 管理冲突优先事项的历史方法已经演变.
- 医学科学的进步不断重塑治疗模式.
研究的目的:
- 检查医学徒劳的历史和当代挑战.
- 探索患者自决对医疗决策的影响.
- 审查解决医疗徒劳问题的新策略的发展.
主要方法:
- 历史医学伦理原则的审查.
- 分析医生与患者关系的演变.
- 检查临床决策的当代方法.
主要成果:
- 患者的自决权改变了医生和患者之间的关系.
- 医生提供福利和防止伤害的职责仍然至关重要.
- 新的范式,专家和工具提高了医疗徒劳的管理.
结论:
- 医学徒劳性需要不断调整伦理和临床策略.
- 整合患者选择需要仔细考虑医生的责任.
- 持续改进方法对于有效的医疗无用性管理至关重要.
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