Moore Crystal Dea, Sparr Jennifer, Sherman Susan, Avery Lisa
The Life Institute at the VA Healthcare Network Upstate New York, Albany, NY 12208, USA.
Soc Work Health Care. 2003;37(2):1-16. doi: 10.1300/J010v37n02_01.
This qualitative study examines the judgment standard preferences of older adults related to surrogate decision-making for medical treatment. Thirty community dwelling adults over the age of 60 were presented with scenarios that depicted three decision-making standards, two of which are the predominant legal standards (substituted judgment and best interests), and a proposed third standard that allows the surrogate to consider the interests of the family in the decision-making process (best judgment). Half of the sample preferred substituted judgment, five preferred best interests, and ten chose best judgment. Selected cases are presented that demonstrate the themes associated with each judgment standard preference.
这项定性研究考察了老年人在医疗替代决策方面的判断标准偏好。研究向30名60岁以上的社区居民展示了描述三种决策标准的情景，其中两种是主要的法律标准（替代判断和最佳利益），还有一种提议的第三种标准，即允许替代决策者在决策过程中考虑家庭利益（最佳判断）。样本中有一半人偏好替代判断，5人偏好最佳利益，10人选择了最佳判断。文中呈现了一些选定案例，展示了与每种判断标准偏好相关的主题。
