Mott P D
Geriatric Medicine Unit, Monroe Community Hospital, Rochester, NY 14620.
Theor Med. 1990 Jun;11(2):95-102. doi: 10.1007/BF00489453.
The issues involved in decision making about the aggressiveness of future medical care for older persons are explored. They are related to population trends, the heterogeneity of older persons and a variety of factors involved in individual preferences. Case studies are presented to illustrate these points, as well as a review of pertinent literature. The argument is offered that, considering these many factors, a system of flexible, individualized care by informed patient preference, is more rational than the rationing of technological services by age.
探讨了关于老年人未来医疗护理积极程度决策中所涉及的问题。这些问题与人口趋势、老年人的异质性以及个人偏好中涉及的多种因素相关。文中呈现了案例研究以阐释这些要点,并对相关文献进行了综述。文中提出,考虑到这些诸多因素,基于明智的患者偏好建立灵活、个性化的护理体系,比按年龄分配技术服务更为合理。