Reid C S
Department of Pediatrics, University of Medicine and Dentistry of New Jersey, Camden 08103.
Cleft Palate Craniofac J. 1992 Nov;29(6):575-7; discussion 570. doi: 10.1597/1545-1569_1992_029_0575_momcaa_2.3.co_2.
Ethical decision-making regarding complex congenital anomalies has evolved along with improvements in neonatal medical and surgical care, but also reflects a changed medical and social environment. The current process is complex and cumbersome, with no guarantee of consensus, and frequently leads to indecision and disagreement. Improvement of the process will require continued professional education, as well as better reconciliation of areas of ambivalence among professionals, families, and society.
关于复杂先天性异常的伦理决策随着新生儿医疗和外科护理的改善而不断发展,但也反映了不断变化的医疗和社会环境。当前的过程复杂且繁琐,无法保证达成共识,并且经常导致犹豫不决和意见分歧。改进这一过程需要持续的专业教育,以及更好地协调专业人员、家庭和社会之间存在矛盾的领域。