医疗决策能力评估
Assessment of Healthcare Decision-making Capacity.
作者信息
Palmer Barton W, Harmell Alexandrea L
机构信息
Department of Psychiatry, University of California, San Diego, CA, USA Veterans Medical Research Foundation, San Diego, CA, USA Veterans Affairs San Diego Healthcare System, San Diego, CA, USA Center for Healthy Aging/Stein Institute for Research on Aging, University of California, San Diego, CA, USA
Department of Psychiatry, University of California, San Diego, CA, USA Center for Healthy Aging/Stein Institute for Research on Aging, University of California, San Diego, CA, USA San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology , San Diego, CA, USA.
出版信息
Arch Clin Neuropsychol. 2016 Sep;31(6):530-40. doi: 10.1093/arclin/acw051. Epub 2016 Aug 22.
It is often necessary for neuropsychologists, clinical psychologists, and other healthcare professionals to assess an individual's capacity to consent to treatment related to healthcare. This task can be challenging and requires a delicate balance of both respect for individuals' autonomy, as well as the protection of individuals with diminished capacity to make an autonomous decision. The purpose of the present review is to provide an overview of the conceptual model of decisional capacity as well as a brief summary of some of the currently available instruments designed to help evaluate medical decision making. In addition, current empirical literature on the relationship between neuropsychological abilities and decision-making capacity is discussed and a brief set of recommendations is provided to further aid clinicians or consultants when they are required to complete the ethically important but difficult task of making determinations about healthcare decision-making capacity.
神经心理学家、临床心理学家及其他医疗保健专业人员常常需要评估个体对医疗保健相关治疗表示同意的能力。这项任务颇具挑战性，需要在尊重个体自主性与保护自主决策能力减弱的个体之间达成微妙平衡。本综述的目的是概述决策能力的概念模型，并简要总结一些目前可用于帮助评估医疗决策的工具。此外，还将讨论当前关于神经心理能力与决策能力之间关系的实证文献，并提供一组简要建议，以在临床医生或顾问需要完成确定医疗决策能力这一重要但困难的伦理任务时提供进一步帮助。
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