Tomlinson T, Howe K, Notman M, Rossmiller D
Center for Ethics and Humanities in the Life Sciences, Michigan State University, East Lansing 48824.
Gerontologist. 1990 Feb;30(1):54-64. doi: 10.1093/geront/30.1.54.
To investigate empirical assumptions about substituted judgment, three treatment decision scenarios were presented to 43 competent elderly persons and 115 persons related to them. Related subjects who were explicitly asked to make a substituted judgment came significantly closer to the elderly person's preferences than those who were asked to make their best recommendation (p = .005-.067, depending on index used). These results support the use of a substituted judgment approach to proxy decision makers; other results suggest some limitations of durable powers of attorney.
为了研究关于替代判断的实证假设，向43名有行为能力的老年人及其115名相关人员呈现了三种治疗决策场景。明确被要求做出替代判断的相关受试者比被要求做出最佳推荐的受试者更接近老年人的偏好（p = 0.005 - 0.067，取决于所使用的指标）。这些结果支持对替代决策者采用替代判断方法；其他结果表明了持久授权书的一些局限性。
