简化规模的共决模式用于处理能力下降的患者。
Sliding-Scale Shared Decision Making for Patients With Reduced Capacity.
机构信息
Director of ethics at the University of Vermont Medical Center, professor of medicine at the University of Vermont Larner College of Medicine in Burlington.
Professor at the Dartmouth Institute for Health Policy and Clinical Practice in Hanover, New Hampshire.
出版信息
AMA J Ethics. 2020 May 1;22(5):E358-364. doi: 10.1001/amajethics.2020.358.
Shared decision making honors patient autonomy, particularly for preference-sensitive care decisions. Shared decision making can be challenging, however, when patients have impaired decision-making capacity. Here, after presenting an illustrative case example, this paper proposes a capacity-adjusted "sliding scale" approach to shared decision making.
共同决策尊重患者自主权，特别是对于偏好敏感的护理决策。然而，当患者的决策能力受损时，共同决策可能会具有挑战性。在此，通过呈现一个说明性的案例示例，本文提出了一种能力调整的“滑动比例”方法来进行共同决策。
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