Centre for Studies in Practical Knowledge, School of Culture and Learning, Södertörn University, Huddinge, Sweden.
Technology and Social Change, Centre for Medical Humanities and Bioethics, Department of Thematic Studies, Linköping University, Linköping, Sweden.
Med Health Care Philos. 2022 Sep;25(3):495-507. doi: 10.1007/s11019-022-10095-y. Epub 2022 Jun 10.
This article examines a population-based opportunistic screening practice for cognitive impairment that takes place at a hospital in Sweden. At the hospital, there is a routine in place that stipulates that all patients over the age of 65 who are admitted to the ward will be offered testing for cognitive impairment, unless they have been tested within the last six months or have been diagnosed with any form of cognitive impairment. However, our analysis shows that this routine is not universally and mechanically applied. Rather, the health care professionals have developed and use an ethico-political judgment, concerning, for example, whom to test, when to offer the tests, and how to explain and perform them. This article explores the role and practice of this form of judgment, emphasising its political and ethical nature. The analysis is based on qualitative interviews with professionals and patients, and draws on the theories of Aristotle and Hannah Arendt.
本文考察了瑞典一家医院开展的一项基于人群的认知障碍机会性筛查实践。在该医院，有一项常规规定，即除非患者在过去六个月内接受过测试或被诊断出患有任何形式的认知障碍，否则所有 65 岁以上入住病房的患者都将接受认知障碍测试。然而，我们的分析表明，这种常规并非普遍且机械地适用。相反，医疗保健专业人员已经制定并使用了一种伦理政治判断，例如，测试谁、何时提供测试以及如何解释和执行测试。本文探讨了这种判断形式的作用和实践，强调了其政治和伦理性质。分析基于对专业人员和患者的定性访谈，并借鉴了亚里士多德和汉娜·阿伦特的理论。
