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Psychosomatics. 2015 May-Jun;56(3):217-26. doi: 10.1016/j.psym.2014.11.004. Epub 2014 Nov 21.
3
Clinical practice. Assessment of patients' competence to consent to treatment.临床实践。评估患者对治疗的同意能力。
N Engl J Med. 2007 Nov 1;357(18):1834-40. doi: 10.1056/NEJMcp074045.
4
Assessment of decision-making capacity in older adults: an emerging area of practice and research.老年人决策能力评估：一个新兴的实践与研究领域。
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Theor Med Bioeth. 2006;27(3):187-213. doi: 10.1007/s11017-006-9005-x.
6
Patient injury and physical restraint devices: a systematic review.患者伤害与身体约束装置：一项系统综述。
J Adv Nurs. 2003 Feb;41(3):274-82. doi: 10.1046/j.1365-2648.2003.02501.x.
7
Competency evaluations on the consultation-liaison service. Some overt and covert aspects.会诊联络服务的能力评估。一些显性和隐性方面。
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实用主义者的决策能力评估指南。

A pragmatist's guide to the assessment of decision-making capacity.

机构信息

Lecturer, Department of Psychiatry,Yale School of Medicine,USA.

Assistant Professor,Department of Medical Ethics and Health Policy,University of Pennsylvania; andDirector of the Scattergood Program for Applied Ethics of Behavioral Health Care,Perelman School of Medicine,University of Pennsylvania,USA.

出版信息

Br J Psychiatry. 2019 Apr;214(4):183-185. doi: 10.1192/bjp.2019.17.

DOI:10.1192/bjp.2019.17
PMID:30896380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6430137/
Abstract

Choice, understanding, appreciation and reasoning compose the standard model of decision-making capacity. Difficulties in determining capacity can arise when patients exhibit partial impairment. We suggest that a pragmatic approach, focusing on how capacity status affects the ultimate decision to override the patient's wishes, can help evaluators resolve difficult cases.Declaration of interestNone.

摘要

选择、理解、欣赏和推理构成了决策能力的标准模型。当患者表现出部分受损时，确定能力可能会遇到困难。我们建议采取一种实用的方法，重点关注能力状况如何影响最终决定是否推翻患者的意愿，这可以帮助评估者解决困难病例。

利益声明

无。