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老年人与高科技医学:个体化、自主分配的案例

The elderly and high technology medicine: a case for individualized, autonomous allocation.

作者信息

Mott P D

机构信息

Geriatric Medicine Unit, Monroe Community Hospital, Rochester, NY 14620.

出版信息

Theor Med. 1990 Jun;11(2):95-102. doi: 10.1007/BF00489453.

Abstract

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.

摘要

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。

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