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芬兰医生与临终决策背景下患者自主权的实现

Finnish doctors and the realisation of patient autonomy in the context of end of life decision making.

作者信息

Hildén H-M, Honkasalo M-L, Louhiala P

机构信息

Licentiate of Medicine, University of Helsinki, Finland.

出版信息

J Med Ethics. 2006 Jun;32(6):316-20. doi: 10.1136/jme.2004.010462.

Abstract

Patient autonomy is a fundamental principle in end of life decision making. However, its realisation may take a variety of forms. Discourse analysis was conducted in a qualitative interview study of 19 physicians. The physicians made use of three different discourses, each of which contained a specific understanding of patient autonomy and a physician's proper activities in the context of end of life decision making.

摘要

患者自主权是临终决策中的一项基本原则。然而,其实现可能有多种形式。在一项对19名医生的定性访谈研究中进行了话语分析。这些医生运用了三种不同的话语,每种话语都包含了对患者自主权的特定理解以及医生在临终决策背景下的适当活动。

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