Department of Philosophy, Linguistics and Theory of Science, The University of Gothenburg Center for Person Centered Care, Gothenburg, Sweden.
Health Care Anal. 2012 Sep;20(3):231-49. doi: 10.1007/s10728-011-0183-y.
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.
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。
