道德判断有多稳定?道德判断有多稳定 对患者责任态度的背景依赖的纵向研究
Berit H Bringedal1, Karin Isaksson Rø2
1The Institute for Studies of the Medical Profession, PO Box 1152, Oslo, 0107, Norway. berit.bringedal@lefo.no.
BMC medical ethics
|March 26, 2024
概括
少数医生认为患者的生活方式应该影响治疗优先级,这一观点保持稳定,但显示出取决于背景的变化. 这一发现突出了对医疗保健分配中的患者责任态度的变化.
科学领域:
- 生物伦理学生物伦理学
- 医学社会学 医学社会学
- 医疗保健政策 医疗保健政策
背景情况:
- 患者生活方式在治疗优先级中的作用是一个生物伦理辩论.
- 临床医生对这个问题的看法还不太清楚.
研究的目的:
- 研究临床医生对患者责任和治疗优先事项的态度如何随着时间的推移而变化.
- 评估这些态度的稳定性和影响因素.
主要方法:
- 2008年,2014年和2021年对挪威医生进行的横截面调查.
- 调查问卷评估了人们对生活方式对护理重点的重要性的看法,并包含了病例简报 (2014年).
主要成果:
- 医生对生活方式和优先事项的态度在2008-2021年期间基本稳定.
- 显著的少数人 (14-22%) 认为生活方式应该为稀缺的器官降低优先级; 42-44% 对于吸烟者.
- 男性性别,医院工作和年龄较小与同意相关.
结论:
- 相当少数的医生支持生活方式作为优先标准,这可能与道德准则相冲突.
- 态度取决于环境,受稀缺意识和框架效应等因素的影响.
- 基于生活方式对患者的非优先考虑的实际含义仍然不清楚.
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