Casarett D, Ferrell B, Kirschling J, Levetown M, Merriman M P, Ramey M, Silverman P
Institute on Aging, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Palliat Med. 2001 Winter;4(4):441-9. doi: 10.1089/109662101753381566.
There is an urgent need for robust empirical data to guide the assessment and treatment of patients near the end of life. Because they are important providers of end-of-life care in this country, hospices have an important role to play in facilitating this research. However, hospices may also face considerable ethical challenges in doing so. This task force statement begins by discussing the importance of hospices' potential contributions to research. Next, we describe ways in which characteristics of hospice patients, and hospices' structure, create ethical challenges that may limit these contributions. We conclude by proposing ways in which hospices and national professional organizations can begin to overcome some of these challenges.
迫切需要强有力的实证数据来指导对临终患者的评估和治疗。在这个国家,临终关怀机构作为临终护理的重要提供者,在推动这项研究方面可发挥重要作用。然而,临终关怀机构在这样做时可能也会面临相当多的伦理挑战。本特别工作组声明首先讨论临终关怀机构对研究潜在贡献的重要性。接下来,我们描述临终关怀患者的特征以及临终关怀机构的结构如何产生可能限制这些贡献的伦理挑战。我们通过提出临终关怀机构和国家专业组织可以开始克服其中一些挑战的方法来得出结论。