对死亡医疗援助,息护理,安全和结构脆弱性的反应
Romayne Gallagher1, Ramona Coelho2, Philippe D Violette3,4
1Division of Palliative Care, University of British Columbia, Vancouver, British Columbia, Canada.
Journal of palliative medicine
|November 13, 2023
概括
这份报告驳斥了有关协助死亡 (AD) 是安全的说法,认为结构性脆弱性是一个重大问题. 公共政策必须解决脆弱性和AD风险,以确保患者的安全.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
背景情况:
- 之前的一份报告质疑了结构脆弱性在辅助死亡 (AD) 中的作用.
- 这份报告质疑了先前出版的证据和结论.
- 与AD相关的息护理的安全性和潜在滥用问题引起了关注.
研究的目的:
- 驳斥先前报告中关于辅助死亡,息护理和结构脆弱性的说法.
- 提出基于证据的反辩论,得到国际息护理专业人员的支持.
- 倡导公共政策,解决结构性脆弱性和与AD相关的风险.
主要方法:
- 批判性地审查之前发表的报告中提出的证据.
- 对医学文献和与辅助死亡和息护理相关的人口研究进行分析.
- 在170多名学者,临床医生和息治疗研究人员之间建立共识.
主要成果:
- 争议报告中的证据不支持其关于AD安全性的结论.
- 结构性脆弱性被确定为提供辅助死亡的重大问题.
- 关于缓和护理滥用和错误死亡的先前报告的说法受到质疑.
结论:
- 公共政策应优先考虑减少结构脆弱性.
- 政策还必须承认并应对基于证据的担忧,即协助死亡可能造成的潜在危害.
- 需要采取平衡的方法,解决弱点的根本原因,同时确保AD安全.
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