Fox Ellen, Tarzian Anita J, Danis Marion, Duke Christopher C
Altarum Institute.
Fox Ethics Consulting.
Am J Bioeth. 2022 Apr;22(4):19-30. doi: 10.1080/15265161.2021.1893550. Epub 2021 Mar 26.
To design effective strategies to improve ethics consultation (EC) practices, it is important to understand the views of ethics practitioners. Previous U.S. studies of ethics practitioners have overrepresented the views of academic bioethicists. To help inform EC improvement efforts, we surveyed a random stratified sample of U.S. hospitals, examining ethics practitioners' opinions on EC in general, on their own EC service, on strategies to improve EC, and on ASBH practice standards. Respondents across all categories of hospitals had very positive perceptions of their own ethics consultation service (ECS) and few concerns about quality. Our findings suggest that the ethics-related needs of small, rural, non-teaching hospitals may be very different from those of academic medical centers, and therefore, different approaches to addressing ethical issues might be warranted.
为了设计有效的策略来改进伦理咨询（EC）实践，了解伦理从业者的观点很重要。美国此前对伦理从业者的研究过多地代表了学术生物伦理学家的观点。为了给EC改进工作提供参考，我们对美国医院的一个随机分层样本进行了调查，考察伦理从业者对一般EC、他们自己的EC服务、改进EC的策略以及美国生物伦理与人文学会（ASBH）实践标准的看法。各类医院的受访者对他们自己的伦理咨询服务（ECS）都有非常积极的看法，对质量几乎没有担忧。我们的研究结果表明，小型农村非教学医院的伦理相关需求可能与学术医疗中心的需求非常不同，因此，可能需要采用不同的方法来解决伦理问题。
