Ford Paul J, Kubu Cynthia S
Department of Bioethics/JJ60, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
J Med Ethics. 2006 Feb;32(2):106-9. doi: 10.1136/jme.200X.013151.
Multidisciplinary healthcare committees meet regularly to discuss patients' candidacy for emerging functional neurosurgical procedures, such as Deep Brain Stimulation (DBS). Through debate and discussion around the surgical candidacy of particular patients, functional neurosurgery programs begin to mold practice and policy supported both by scientific evidence and clear value choices. These neurosurgical decisions have special considerations not found in non-neurologic committees. The professional time used to resolve these conflicts provides opportunities for the emergence of careful, ethical practices simultaneous with the expansion of therapy applications.
多学科医疗委员会定期开会,讨论患者是否适合采用新兴的功能性神经外科手术,如深部脑刺激术(DBS)。通过围绕特定患者的手术候选资格进行辩论和讨论,功能性神经外科项目开始塑造既得到科学证据支持又有明确价值选择支撑的实践和政策。这些神经外科决策有一些在非神经科委员会中不存在的特殊考量因素。用于解决这些冲突的专业时间为谨慎、合乎道德的实践的出现提供了机会,同时也推动了治疗应用的扩展。