当外部因素限制复杂的胎儿和新生儿诊断的护理选择时
DonnaMaria E Cortezzo1,2,3,4, Ashley Waddell Tingstad5,6, Terri L Major-Kincade7,8,9
1Division of Neonatology, Connecticut Children's, Hartford, CT, USA. dcortezzo@connecticutchildrens.org.
复杂的胎儿诊断带来了困难的选择. 财务和法律等外部因素可能会限制护理选择,影响患者的决策,并需要全面的咨询.
科学领域:
- 围产儿医学 围产儿医学
- 医学伦理 医学伦理
- 卫生政策 卫生政策
背景情况:
- 在美国,许多人每年都面临复杂的胎儿或新生儿诊断.
- 这些诊断需要做出关于怀孕和新生儿护理的艰难医疗决定.
- 可用的护理选择包括堕胎,胎儿干预,息治疗和新生儿干预.
研究的目的:
- 探索外部因素如何影响患者对复杂胎儿/新生儿诊断的选择.
- 检查堕胎,胎儿干预,息治疗和新生儿干预的限制.
- 讨论受限选择的含义,并建议咨询策略.
主要方法:
- 关于影响围产期护理决策的外部因素的文献综述.
- 分析地理,财务,提供者偏见,机构政策和立法如何影响护理选择.
- 探索为患有复杂胎儿/新生儿诊断的患者提供咨询策略.
主要成果:
- 外部因素显著限制患者获得首选护理选择的机会.
- 地理,经济和法律障碍限制了堕胎,胎儿干预和新生儿护理的选择.
- 提供者偏见和机构政策进一步限制了可用的治疗途径.
结论:
- 由于外部因素的限制,限制的选择使复杂的胎儿/新生儿诊断的决策更加复杂.
- 综合咨询对于克服局限性和支持患者自主性至关重要.
- 需要制定战略,确保平等地获得完整的围产期护理信息和选择.
更多相关视频
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
07:36Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
相关概念视频
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Fetal Circulation
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Teratogenicity
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Tertiary Healthcare System
