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协助自杀与医疗实践:医疗组织的问题与思考。

Assisted dying and medical practice: questions and considerations for healthcare organisations.

机构信息

Department of Theology and Religion, University of Oxford, Oxford, UK

Professor of Palliative Medicine, Cardiff University School of Medicine, Cardiff, UK.

出版信息

BMJ Support Palliat Care. 2023 Dec;13(4):438-441. doi: 10.1136/bmjspcare-2022-003652. Epub 2022 Apr 26.

Abstract

OBJECTIVES

Most clinical teams and organisations have not openly or formally discussed how they would react if physician-assisted suicide were to be legalised. This paper aims to discuss some of the potential challenges of introducing 'assisted dying' into medical care and produces a table of questions and considerations in light of such evidence so as to promote necessary discussion.

METHODS

An analysis of recent quantitative and qualitative studies from jurisdictions where 'assisted dying' is practised was conducted, with particular attention paid to studies which focus on the impact of legalising 'assisted dying' on clinical care.

RESULTS

'Assisted dying' can have a significant impact on clinical practice by complicating patient care and increasing clinician workload, potentially causing stress on patient care.

CONCLUSIONS

If physician-assisted suicide was to be legalised as part of existing healthcare, there are many questions that healthcare organisations must consider. Such considerations are tabulated in order to encourage awareness and discussion on the topic.

摘要

目的

大多数临床团队和组织尚未公开或正式讨论,如果医生协助自杀合法化,他们将如何应对。本文旨在讨论在医疗保健中引入“协助死亡”可能面临的一些挑战,并根据这些证据列出一系列问题和注意事项,以促进必要的讨论。

方法

对在实行“协助死亡”的司法管辖区的最近的定量和定性研究进行了分析,特别关注关注合法化“协助死亡”对临床护理影响的研究。

结果

“协助死亡”可能会通过使患者护理复杂化并增加临床医生的工作量,从而对临床实践产生重大影响,可能会对患者护理造成压力。

结论

如果作为现有医疗保健的一部分将医生协助自杀合法化,那么医疗保健组织必须考虑许多问题。为了鼓励对该主题的认识和讨论,将这些考虑因素制成表格。

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