对受监禁影响的患者进行临床伦理咨询:单一中心的回顾性审查
Yena Kang1, Samantha Chao1,2, Alethia Battles3
1University of Michigan Medical School, Ann Arbor, Michigan, USA.
概括
对受监禁影响的患者进行的伦理咨询很少见,代理决策和沟通挑战是关键问题. 建议进行进一步的教育和协调.
科学领域:
- 医学伦理 医学伦理
- 卫生法 法律 卫生法
- 公共卫生 公共卫生
背景情况:
- 受监禁影响的患者面临着不同的医疗,法律和道德挑战.
- 对这一群体的伦理咨询没有得到很好的理解.
- 了解这些咨询对于公平的护理至关重要.
研究的目的:
- 对受监禁影响的患者进行伦理咨询时,描述主要的伦理问题.
- 确定这些商的上下文特征.
- 将这些患者的人口统计数据与一般监禁人口进行比较.
主要方法:
- 伦理咨询的定性概念内容分析.
- 患者人口统计的描述性统计数据 (2015年1月至2022年6月).
- 与受监禁影响的患者的机构数据进行比较.
主要成果:
- 受监禁影响的患者占伦理咨询的3% (n=38).
- 主要的伦理问题:代理决策 (34%) 和信托职责 (16%).
- 关键的上下文特征:家庭内部的沟通挑战 (37%).
结论:
- 监禁状况影响到决策者和护理的机会.
- 对妇女和门诊/急诊机构而言,伦理咨询可能没有得到充分利用.
- 需要加强教育和与惩戒设施的协调.
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