支持英格兰的决策指导:务实审查
Jillian Craigie1, Antonia Alley2, Maria Teresa Cotrufo1
1Centre of Medical Law and Ethics, Dickson Poon School of Law, King's College London, London, WC2R 2LS, United Kingdom.
Medical law review
|July 31, 2025
概括
根据2005年"精神能力法",英格兰和威尔士的决策支持法 (SFDM) 与联合国残疾人权利公约等国际标准有所不同. 为了应对实际实施的挑战,指导需要更加多面化.
科学领域:
- 法律和社会科学 法律和社会科学
- 关于残疾人的研究.
- 医疗保健政策 医疗保健政策
背景情况:
- 法律框架越来越多地支持具有有限决策能力的成年人的自主权.
- 决策支持 (SFDM) 在英格兰和威尔士通过2005年精神能力法案 (MCA) 立法.
- 通过联合国残疾人权利公约 (CRPD),SFDM的国际认可正在增长.
研究的目的:
- 分析英国SFDM的概念化和实施情况.
- 在当前的SFDM指南中识别差距和需求.
- 探索国内 (MCA) 和国际 (CRPD) 的SFDM方法之间的差异.
主要方法:
- 采用了务实审查方法.
- 分析了40个包含SFDM指导的资源.
- 检查与SFDM相关的法律和政策文件.
主要成果:
- 目前英格兰的SFDM指导主要将其概念化为使精神能力成为可能的一种手段.
- 在MCA对SFDM的理解和符合CRPD的方法之间存在分歧,其中包括替代决策.
- 确定了更多多方面的指导需求,解决决策性质,困难来源和支持者关系,以及针对特定背景和利益相关者的差距.
结论:
- 在英格兰需要权威,全面的SFDM指导.
- SFDM的二元模型,由于不同的法律解释,提出了实际挑战.
- 需要进一步的研究来协调国内和国际对SFDM的方法.
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