Grundstein-Amado R
Department of Psychiatry, Baycrest Centre for Geriatric Care, North York, Ontario, Canada.
Theor Med. 1991 Jun;12(2):157-70. doi: 10.1007/BF00489796.
The purpose of this paper is to propose a model of clinical-ethical decision making which will assist the health care professional to arrive at an ethically defensible judgment. The model highlights the integration between ethics and decision making, whereby ethics as a systematic analytic tool bring to bear the positive aspects of the decision making process. The model is composed of three major elements. The ethical component, the decision making component and the contextual component. The latter incorporates the relational aspects between the provider and the patient and the organizational structure. The model suggests that in order to arrive at an ethically, justifiable sound decision one make reference to those three elements.
本文的目的是提出一种临床伦理决策模型，该模型将帮助医疗保健专业人员做出符合伦理且合理的判断。该模型强调伦理与决策之间的整合，即伦理作为一种系统的分析工具，对决策过程产生积极影响。该模型由三个主要要素组成：伦理要素、决策要素和情境要素。情境要素包含提供者与患者之间的关系以及组织结构。该模型表明，为了做出符合伦理、合理且可靠的决策，需要参考这三个要素。
