对潜在不适当治疗的基于预后的定义:仍然有缺陷,如果不是徒劳的话
The Journal of clinical ethics
|November 14, 2024
概括
限制维持生命的医疗治疗 (LSMT) 的政策可能会导致配给问题. 仔细制定政策可以减轻偏见和歧视,特别是在严重神经障碍患者中.
科学领域:
- 医学伦理 医学伦理
- 医疗保健政策 医疗保健政策
背景情况:
- 专业组织有限制维持生命的医疗治疗 (LSMT) 的政策.
- 这些政策往往定义了值,以确定什么时候LSMT可能不合适或无益.
研究的目的:
- 批判性地分析专业组织的限制LSMT的政策.
- 检查限制LSMT的标准,以及在哪些条件下可以接受压倒患者偏好.
- 评估关键护理医学学会基于预后的方法来定义非有益的治疗.
主要方法:
- 专业组织政策的批判性分析.
- 检查关键护理医学协会对非有益治疗的方法.
主要成果:
- 基于预后的无益治疗定义虽然具有影响力,但与医疗保健配给有相似之处.
- 这种方法引起了人们对潜在的机构和从业者偏见的担忧.
- 担忧包括歧视严重神经障碍或长期依赖技术的个体的风险.
结论:
- 关于偏见和歧视的担忧是有效的,可能是不可避免的.
- 通过将各种危害概念纳入定义不适当的LSMT的伦理考虑,可以改进政策.
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