a Dalhousie University.
Am J Bioeth. 2016;16(1):38-47. doi: 10.1080/15265161.2015.1115141.
Critical-care decision making is highly complex, given the need for health care providers and organizations to consider, and constructively respond to, the diverse interests and perspectives of a variety of legitimate stakeholders. Insights derived from an identified set of ethics-related considerations have the potential to meaningfully inform inclusive and deliberative policy development that aims to optimally balance the competing obligations that arise in this challenging, clinical decision-making domain. A potential, constructive outcome of such policy engagement is the collaborative development of an as-fair-as-possible dispute resolution process that incorporates an appropriated-justified, defensible critical-care obligation threshold.
重症监护决策非常复杂,因为医疗保健提供者和组织需要考虑并建设性地回应各种合法利益相关者的不同利益和观点。从一系列确定的与伦理相关的考虑因素中获得的见解有可能为包容性和审议性政策制定提供有意义的信息,该政策旨在在这个具有挑战性的临床决策领域中最佳平衡竞争义务。这种政策参与的一个潜在的建设性结果是合作制定一个尽可能公平的争议解决过程,该过程纳入了适当的、合理的、可辩护的重症监护义务门槛。