a Duke University Medical Center.
b North Carolina State University College of Veterinary Medicine and Veterinary Specialty Hospital.
Am J Bioeth. 2018 Feb;18(2):41-53. doi: 10.1080/15265161.2017.1409824.
Technological advances in veterinary medicine have produced considerable progress in the diagnosis and treatment of numerous diseases in animals. At the same time, veterinarians, veterinary technicians, and owners of animals face increasingly complex situations that raise questions about goals of care and correct or reasonable courses of action. These dilemmas are frequently controversial and can generate conflicts between clients and health care providers. In many ways they resemble the ethical challenges confronted by human medicine and that spawned the creation of clinical ethics committees as a mechanism to analyze, discuss, and resolve disagreements. The staff of the North Carolina State University Veterinary Hospital, a specialty academic teaching institution, wanted to investigate whether similar success could be achieved in the tertiary care veterinary setting. We discuss the background and rationale for this method, as well as the approach that was taken to create a clinical ethics committee.
兽医领域的技术进步在动物疾病的诊断和治疗方面取得了巨大进展。与此同时，兽医、兽医技师和动物主人面临着日益复杂的情况，这些情况引发了关于护理目标以及正确或合理治疗方案的问题。这些困境往往颇具争议性，可能会在客户和医疗服务提供者之间引发冲突。在许多方面，它们类似于人类医学所面临的伦理挑战，这催生了临床伦理委员会的创建，作为一种分析、讨论和解决分歧的机制。北卡罗来纳州立大学兽医医院的工作人员是一家专业的学术教学机构，他们想调查在三级兽医护理环境中是否也能取得类似的成功。我们将讨论这种方法的背景和基本原理，以及创建临床伦理委员会的方法。
