临床伦理、信息与沟通：对临床伦理委员会31个案例的回顾
Clinical ethics, information, and communication: review of 31 cases from a clinical ethics committee.
作者信息
Førde R, Vandvik I H
机构信息
Legeforeningens forskningsinstitutt, Postboks 1152, Sentrum, 0107 Oslo, Norway.
出版信息
J Med Ethics. 2005 Feb;31(2):73-7. doi: 10.1136/jme.2003.003954.
OBJECTIVES
To summarise the types of case brought to the Clinical Ethics Committee of the National Hospital of Norway from 1996 to 2002 and to describe and discuss to what extent issues of information/communication have been involved in the ethical problems.
DESIGN
Systematic review of case reports.
FINDINGS
Of the 31 case discussions, (20 prospective, 11 retrospective), 19 cases concerned treatment of children. Twenty cases concerned ethical problems related to withholding/withdrawing of treatment. In 25 cases aspects of information/communication were involved in the ethical problem, either explicitly (n = 3) or implicitly (n = 22).
CONCLUSION
Problems related to information/communication may underlie a classic ethical problem. Identification of these "hidden" problems may be important for the analysis, and hence, the solution to the ethical dilemma.
目的
总结1996年至2002年提交至挪威国家医院临床伦理委员会的病例类型，并描述和讨论信息/沟通问题在伦理问题中所涉及的程度。
设计
对病例报告进行系统综述。
结果
在31例病例讨论中（20例前瞻性，11例回顾性），19例涉及儿童治疗。20例涉及与治疗的 withhold/withdraw 相关的伦理问题。在25例病例中，信息/沟通方面要么明确地（n = 3）要么隐含地（n = 22）涉及到伦理问题。
结论
与信息/沟通相关的问题可能是一个经典伦理问题的潜在原因。识别这些“隐藏”问题对于分析以及因此对于伦理困境的解决可能很重要。
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