包容性评估:在印度的残疾评估委员会中促进平等和正义
Om Rathod1, Satendra Singh2, Prannv Dhawan3
1first year undergraduate medical student at Government Medical College, Nagpur, Maharashtra, INDIA.
Indian journal of medical ethics
|March 4, 2025
概括
一名具有严重移动障碍的医学候选人被拒绝入院. 最高法院授权以能力为基础的评估,导致录取和呼吁修订残疾指南.
科学领域:
- 医学教育和残疾人法律
- 医疗保健中的人权 获得医疗保健 获得医疗保健
背景情况:
- 一个有88%的运动残疾的候选人被残疾评估委员会 (DAB) 拒绝接受医疗治疗.
- 之前在高等法院的法律挑战没有成功,需要最高法院的干预.
研究的目的:
- 评估医疗入院中残疾评估方法的公平性和适当性.
- 倡导在残疾评估中从医疗模式转向人权模式.
- 确保残疾人平等获得医疗教育.
主要方法:
- 最高法院下令使用独立的功能能力评估进行重新评估.
- 新的评估使用了一个人权模型,包括模拟实验室和住宿讨论.
- 评估的重点是候选人的能力和潜在的临床适应,而不仅仅是残疾.
主要成果:
- 最高法院支持功能能力,基于能力的评估方法.
- 法院批评现有的国家医疗委员会指导方针不足.
- 候选人被命令被录取到医学院.
结论:
- 基于能力的评估优于医疗入院的以残疾为中心的评估.
- 迫切需要修订国家医疗委员会指导方针,使其与残疾人正义原则保持一致.
- 未来的指导方针应该纳入技术进步和残疾医生的观点.
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