精神病学预先指令的模板:与关键利益相关者共同开发和定性评估
Anne-Sophie Gaillard1, Jakov Gather2, Iris Haferkemper3
1Institute for Medical Ethics and History of Medicine, Ruhr University Bochum, Bochum, Germany.
International journal of law and psychiatry
|August 6, 2025
概括
这项研究与服务用户和专业人士一起开发了第一个德国精神病学预先指令 (PAD) 模板. 可访问的模板可以帮助个人表达未来心理健康危机的治疗偏好.
科学领域:
- 心理健康法 心理健康法
- 患者的自主权 患者的自主权
- 医疗保健政策 医疗保健政策
背景情况:
- 精神病学预先指令 (PADs) 赋予心理健康服务用户以记录未来危机的治疗偏好权力.
- 可访问的PAD模板对于改善精神卫生保健机构的实际实施至关重要.
研究的目的:
- 共同开发和评估专门为德国医疗保健环境设计的精神病学预先指令 (PAD) 模板.
- 确保模板纳入关键利益相关者的需求和观点,包括服务用户和专业人士.
主要方法:
- 对PAD内容和现有模板的系统审查为初始原型开发提供了信息.
- 共同开发包括生活经验委员会,与各种利益相关者聚焦小组以及与专家的商.
- 根据多轮评估的反,模板的代改进发生了.
主要成果:
- 利益相关者高度重视个人价值观的部分,优先支持,并支持决策.
- 建议包括一个危机总结页,一个"自我健康"描述,以及住院后的护理偏好.
- 讨论涉及包括决策能力指标,治疗设置和降级策略.
结论:
- 该研究通过合作利益相关者参与成功开发了第一个德国精神病学预先指令 (PAD) 模板.
- 共同开发方法作为一种可转移的模型,用于在其他法律管辖区创建特定的PAD模板.
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