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《德克萨斯州预先指示法》——它是一个好的模式吗?

The Texas Advance Directives Act--is it a good model?

机构信息

Department of Pediatrics, Bridgeport Hospital, Bridgeport, CT 06610, USA.

出版信息

Semin Perinatol. 2009 Dec;33(6):384-90. doi: 10.1053/j.semperi.2009.07.006.

Abstract

The Texas Advance Directives Act was first passed in 1999 to help resolve conflicts between families and physicians when disagreements exist over continuing or halting treatments of patients. When the physician feels that continued treatment is ethically or morally unjustified and seeks to end life support for a patient against the wishes of the family, it establishes a specific path that must be followed to afford legal protection to the physician and institution. Its proponents believe that it reduces morally unjustifiable treatment of terminal patients, while its opponents argue that it places too much power in the hands of physicians and institutions. This review analyzes both sides of the argument, gives 2 examples of its application, and concludes that it is a good model but requires modification to correct some flaws.

摘要

《德克萨斯州预先指示法案》于 1999 年首次通过,旨在帮助解决当患者的继续治疗或停止治疗存在分歧时,家庭和医生之间的冲突。当医生认为继续治疗在伦理或道德上是不合理的,并试图终止对患者的生命支持,而这与家庭的意愿相悖时,该法案规定了必须遵循的具体程序,以保护医生和医疗机构的合法权益。该法案的支持者认为,这减少了对绝症患者不合理的治疗,而反对者则认为,这赋予了医生和医疗机构过多的权力。本综述分析了双方的论点,给出了其应用的 2 个例子,并得出结论,认为该法案是一个很好的模式,但需要进行修改,以纠正一些缺陷。

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