削弱决策能力 削弱决策能力
1Center for Bioethics, New York University, New York, New York, USA.
Journal of medical ethics
|September 19, 2023
概括
在临床实践中评估决策能力 (DMC) 的标准方法是有缺陷的,并且妨碍了道德考虑. 研究人员主张完全放弃目前的DMC框架.
科学领域:
- 生物伦理学生物伦理学
- 医学伦理 医学伦理
- 临床决策 - 临床决策
背景情况:
- 决策能力 (DMC) 对于确定患者在医疗治疗中的自主性至关重要.
- 准确的DMC评估对于伦理临床实践和患者权利至关重要.
- 目前评估DMC的方法在临床环境中至关重要.
研究的目的:
- 批判性地评估评估决策能力 (DMC) 的标准方法.
- 为了确定DMC评估的现有框架内固有的问题.
- 倡导从目前的DMC模式转变为根本的转变.
主要方法:
- 对DMC标准方法的核心承诺的分析.
- 识别和讨论标准DMC框架的三个重大问题.
- 对影响DMC评估的反父权主义范式的伦理批评.
主要成果:
- 标准的DMC方法未能充分识别和澄清相关的伦理考虑.
- 当前的DMC评估掩盖了授予或拒绝授予决策权的伦理理由.
- 对于微小的调整,DMC评估的现有问题太重要了.
结论:
- 对决策能力 (DMC) 的标准方法在临床实践中从根本上是不够的.
- 目前的DMC模式的变化无法解决其固有的伦理和实际问题.
- 建议完全放弃目前的DMC框架,以改善道德决策.
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