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以人为本的护理和共同决策:对伦理学、公共卫生和研究的影响。

Person centred care and shared decision making: implications for ethics, public health and research.

机构信息

Department of Philosophy, Linguistics and Theory of Science, The University of Gothenburg Center for Person Centered Care, Gothenburg, Sweden.

出版信息

Health Care Anal. 2012 Sep;20(3):231-49. doi: 10.1007/s10728-011-0183-y.

Abstract

This paper presents a systematic account of ethical issues actualised in different areas, as well as at different levels and stages of health care, by introducing organisational and other procedures that embody a shift towards person centred care and shared decision-making (PCC/SDM). The analysis builds on general ethical theory and earlier work on aspects of PCC/SDM relevant from an ethics perspective. This account leads up to a number of theoretical as well as empirical and practice oriented issues that, in view of broad advancements towards PCC/SDM, need to be considered by health care ethics researchers. Given a PCC/SDM-based reorientation of health care practice, such ethics research is essential from a quality assurance perspective.

摘要

本文系统地阐述了在不同领域、不同层次和阶段的医疗保健中出现的伦理问题,并介绍了体现以患者为中心的护理和共同决策(PCC/SDM)转变的组织和其他程序。该分析基于一般伦理理论和早期从伦理角度出发的 PCC/SDM 相关方面的工作。该说明引出了一些理论以及经验和实践导向的问题,鉴于朝着 PCC/SDM 的广泛推进,需要由医疗保健伦理研究人员来考虑这些问题。鉴于以 PCC/SDM 为基础的医疗保健实践的重新定位,从质量保证的角度来看,这种伦理研究是必不可少的。

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