重新考虑在生殖环境中使用尿液药物检测
Noelle G Martinez1, Sarah C M Roberts2, Rachel A Achu-Lopes3
1Division of Addiction Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (Dr Martinez).
American journal of obstetrics & gynecology MFM
|October 23, 2023
概括
在生殖健康保健中,尿液药物检测往往是有偏见和污名化的,而不是告知护理决策. 一个新的框架有助于临床医生批判性地评估堕胎和分娩环境中的测试使用和潜在偏见.
科学领域:
- 生殖健康护理 生殖健康护理
- 临床决策 - 临床决策
- 医学伦理 医学伦理
背景情况:
- 尿液药物测试 (UDT) 在生殖保健中很常见.
- 它们的应用经常受到偏见和耻辱的影响,而不是基于证据的临床需求.
- 滥用UDT可能会对患者的护理产生负面影响,并产生严重的社会和法律后果.
研究的目的:
- 提出一个框架,以批判性地评估UDT在生殖健康保健中的使用.
- 引导临床医生评估UDT的适当性和潜在危害.
- 鼓励对影响测试决策的偏见进行反思.
主要方法:
- 制定一个框架,为UDT评估提出指导性问题.
- 该框架涉及临床问题,试验适当性,风险效益分析,替代工具和偏见.
- 将框架应用于堕胎护理和劳动/分娩的三个常见场景.
主要成果:
- 该框架提供了一个结构化的方法来质疑UDT的常规使用.
- 它强调了UDT可能与临床目标或患者福祉不一致的情况.
- 展示了偏见如何透到敏感的生殖健康环境中的测试实践中.
结论:
- 生殖保健中的UDT需要仔细的伦理和临床审查.
- 批判性评估框架可以减轻偏见并改善决策.
- 促进深思熟虑的UDT使用对于以患者为中心的生殖保健至关重要.
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