Schouten R, Gutheil T G
Program in Psychiatry and the Law, Massachusetts Mental Health Center, Harvard Medical School, Boston.
Am J Psychiatry. 1990 Oct;147(10):1348-52. doi: 10.1176/ajp.147.10.1348.
The Massachusetts Supreme Judicial Court's decision in Rogers v. Commissioner is generally regarded as an important right to refuse treatment decision requiring maximum judicial involvement in the treatment of nonconsenting patients. Since courts and legislators in other jurisdictions have looked to Rogers for guidance on right to refuse treatment issues, and since some have adopted it as a model, it is essential for lawmakers to understand the economic realities of the Massachusetts experience and the commitment of resources required by this model. The authors review these realities, suggesting that there are distinct reasons for considering this particular model "cost ineffective" in preserving patients' rights.
马萨诸塞州最高法院在罗杰斯诉专员案中的裁决，通常被视为一项重要的拒绝治疗决定，该决定要求司法部门在未经同意的患者治疗中最大限度地参与。由于其他司法管辖区的法院和立法者已参照罗杰斯案来处理拒绝治疗问题，且有些地区已将其作为范例采用，因此立法者必须了解马萨诸塞州这一经验的经济现实以及该范例所需的资源投入。作者审视了这些现实情况，认为有明显理由可认定这一特定范例在维护患者权利方面“成本效益低下”。
