社区医疗服务中心临床伦理服务的需求及其目标：一项调查
The need for a clinical ethics service and its goals in a community healthcare service centre: a survey.
作者信息
Racine E, Hayes K
机构信息
Neuroethics Research Unit, Institut de recherches cliniques de Montréal (IRCM), 110 avenue des Pins Ouest, Montréal, QC, H2W 1R7, Canada.
出版信息
J Med Ethics. 2006 Oct;32(10):564-6. doi: 10.1136/jme.2005.014589.
OBJECTIVES
To (1) assess whether according to healthcare providers, the creation of an ethics service responds to a need; (2) assess the importance of an ethics service for healthcare providers; (3) determine what ethics services should be offered and the preferred formats of delivery; and (4) identify key issues to be initially dealt with by the ethics service.
DESIGN
A survey of healthcare providers in Québec's Centre Local de Services Communautaires (CLSC), healthcare institutions dedicated to community health and social services.
FINDINGS
96 (95%) respondents agreed that an ethics service was needed, and on average the ethics service project was judged to be very important. Preferred formats for ethics consultation and education were identified, as well as key concerns such as the need of respect for the patient as a person, elder abuse and ethical issues in home care.
CONCLUSION
This survey is helping in the implementation of an ethics service and can guide others in similar healthcare institutions.
目标
(1) 根据医疗服务提供者的情况，评估设立伦理服务是否满足一种需求；(2) 评估伦理服务对医疗服务提供者的重要性；(3) 确定应提供哪些伦理服务以及首选的提供形式；(4) 确定伦理服务最初应处理的关键问题。
设计
对魁北克社区服务中心（CLSC）的医疗服务提供者进行一项调查，CLSC是致力于社区健康和社会服务的医疗机构。
调查结果
96名（95%）受访者同意需要设立伦理服务，并且平均而言，伦理服务项目被认为非常重要。确定了伦理咨询和教育的首选形式，以及诸如尊重患者个人、虐待老年人和家庭护理中的伦理问题等关键问题。
结论
这项调查有助于伦理服务的实施，并可为类似医疗机构提供指导。
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