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当死亡的决定干扰着治愈的责任时
Maya Morcos1, Amir-Ali Golrokhian-Sani2
1Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada. mmorc041@uottawa.ca.
概括
医生不应该拒绝基于患者考虑医疗协助死亡 (MAiD) 的例行护理. 政策改革是必要的,以防止歧视,并确保关于终身护理和治疗的合作决策.
科学领域:
- 医学伦理 医学伦理
- 医疗保健政策 医疗保健政策
- 患者权利 患者权利
背景情况:
- 一位医生遇到一位专家拒绝为一名考虑医疗协助死亡 (MAiD) 的患者进行例行结肠镜检查.
- 这位64-74岁的患者因风险因素而被转诊进行结肠镜检查.
- 专家指出,拒绝的原因是患者考虑对抑郁症进行MAiD治疗,尽管对心理健康状况的MAiD治疗直到2027年才可用.
研究的目的:
- 根据患者对MAiD的考虑,检查拒绝医疗程序的伦理影响.
- 倡导政策改革,解决医疗保健中的潜在歧视问题.
- 促进医生和患者之间关于护理目标的合作决策.
主要方法:
- 一个特定的临床体验的评论和伦理分析.
- 审查有关死亡医疗援助的现行和拟议立法.
- 讨论医疗伦理和患者自主权的原则.
主要成果:
- 拒绝基于MAiD考虑的护理引发了伦理问题和潜在的歧视.
- 当前的政策可能无法充分解决MAiD和常规医疗保健决策的交叉点.
- 需要明确的指导方针来管理这种复杂的患者情况.
结论:
- 政策改革至关重要,以防止对考虑MAiD的患者的歧视.
- 对决策的协作,个别案例的方法至关重要.
- 建议的解决方案包括制定指南,加强伦理培训,教育患者,并进行进一步的研究.
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