对内镜进行个性化同意:对2016年BSG指南的更新.
Nicholas Ewin Burr1,2, Ian D Penman3, Helen Griffiths4
1Gastroenterology & Hepatology, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK.
Frontline gastroenterology
|July 6, 2023
概括
本文件更新了英国胃肠道学会内镜同意指南,使其与通用医疗委员会共享的决策原则保持一致. 它为将患者价值观纳入同意过程提供了实际建议.
科学领域:
- 胃肠病学 胃肠病学
- 医学伦理 医学伦理
- 医疗保健政策 医疗保健政策
背景情况:
- 英国胃肠病学会 (BSG) 更新了其2016年内镜同意指南.
- 一般医疗委员会 (GMC) 在2020年引入了关于共享决策和同意的新指南,受2015年蒙哥马利裁决的影响.
- 这些更新强调了患者价值观和医疗干预的共同决策.
研究的目的:
- 为更新2016年BSG内镜同意指南提供正式建议.
- 为将GMC2020指南和蒙哥马利裁决纳入临床实践提出实际建议.
- 支持临床医生加强内镜手术的同意程序.
主要方法:
- 审查现有的BSG (2016) 和GMC (2020) 准则以及蒙哥马利裁决.
- 制定正式的建议和实际的建议,以获得同意.
- 专注于将患者相关的因素和价值观纳入决策.
主要成果:
- 提出了正式建议,以更新BSG内镜同意指南.
- 该文件扩展了蒙哥马利立法和GMC指导,提供了实际的整合策略.
- 重点放在地方实施所需的协作努力上.
结论:
- 更新的建议旨在通过整合患者价值来加强内镜同意过程.
- 这些指南旨在伴随,而不是取代现有的GMC和BSG文件.
- 有效实施需要医疗从业者和当地卫生保健服务之间的合作.
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