Tuohey John
Providence St Vincent Medical Center, Portland, OR, USA.
Health Prog. 2006 Mar-Apr;87(2):36-41.
In response to the need for a more structured approach toward the enhancement of and preparation for case consultation, the Portland Service Area (PSA) of the Providence Health System Oregon Region implemented a "special team" system. These teams--an extension of the ethics committees already in place--underwent training in areas such as an overview of ethics, patient decision making, professionalism, organizational ethics, and palliative and end-of-life care. Moving ethics consultation away from the purview of ethics committees generally, and into the realm of these trained special teams, has improved PSA's ability to respond to ethics needs in the region.
为了满足采用更结构化方法来加强病例会诊及相关准备工作的需求,俄勒冈州普罗维登斯健康系统波特兰服务区(PSA)实施了“特别团队”制度。这些团队是现有伦理委员会的延伸,在诸如伦理概述、患者决策、职业素养、组织伦理以及姑息治疗和临终关怀等领域接受了培训。将伦理会诊工作从一般伦理委员会的职责范围转移到这些经过培训的特别团队手中,提高了PSA应对该地区伦理需求的能力。