Schochow M, May A T, Schnell D, Steger F
Institut für Geschichte und Ethik der Medizin der Martin-Luther-Universität Halle-Wittenberg.
Dtsch Med Wochenschr. 2014 Oct;139(43):2178-83. doi: 10.1055/s-0034-1370307. Epub 2014 Oct 15.
There have been different initiatives for the implementation of clinical ethics consultation during the past years. The present study surveys current data.
A structured questionnaire was used. Of the 1,858 contacted hospitals throughout Germany 550 answered to that questionnaire (return rate 29,6 %). The survey took place between September 2013 and January 2014.
The clinical ethics committee is the mostly implemented structure of clinical ethics consultation. Recommendations to implement those structures (ZEKO 2006, AEM 2010) show less influence than the legally binding standard (HKHG 2011). Structures of clinical ethics consultation are respected as instrument to solving ethical conflicts in clinical routines.
Establishing ethics consultation should be promoted. Preferably appropriate legal rules for the implementation of clinical ethics consultation should be developed further as well as their structural framing.
在过去几年中，出现了不同的实施临床伦理咨询的倡议。本研究调查了当前的数据。
使用了一份结构化问卷。在德国全境联系的1858家医院中，有550家回答了该问卷（回复率29.6%）。调查于2013年9月至2014年1月进行。
临床伦理委员会是临床伦理咨询最常实施的架构。实施这些架构的建议（ZEKO 2006，AEM 2010）的影响力小于具有法律约束力的标准（HKHG 2011）。临床伦理咨询架构被视为解决临床日常伦理冲突的工具。
应推动建立伦理咨询。最好进一步制定实施临床伦理咨询的适当法律规则及其架构框架。
