临床医生应如何确定创伤患者恢复工作的准备情况？
How Should Clinicians Determine a Traumatized Patient's Readiness to Return to Work?
作者信息
Moses Tabitha E H, Javanbakht Arash
机构信息
MD/PhD candidate in the Translational Neuroscience Program at Wayne State University School of Medicine in Detroit, Michigan.
Psychiatrist and director of the Stress, Trauma, and Anxiety Research Clinic at Wayne State University School of Medicine in Detroit, Michigan.
出版信息
AMA J Ethics. 2022 Feb 1;24(2):E111-119. doi: 10.1001/amajethics.2022.111.
A clinician's standard primary role is to treat and monitor their patients' health and to be their ally. Clinicians with obligations to patients and to organizations, however, must also assess patients for nontherapeutic purposes (eg, readiness to resume work). These 2 obligations can conflict, and, when they do, clinicians must balance their duties to patients and to society. We propose criteria clinicians should consider when determining a patient's readiness to return to work and offer recommendations for interpreting factors that influence this decision.
临床医生的标准首要职责是治疗和监测患者的健康状况，并成为他们的支持者。然而，对患者和机构负有责任的临床医生，也必须出于非治疗目的对患者进行评估（例如，恢复工作的准备情况）。这两项职责可能会产生冲突，一旦出现冲突，临床医生必须在对患者的责任和对社会的责任之间找到平衡。我们提出了临床医生在确定患者恢复工作的准备情况时应考虑的标准，并就如何解读影响这一决定的因素提供建议。
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