Saint Louis University, Saint Louis, Missouri.
University of Arkansas for Medical Sciences, College of Medicine, Department of Medical Humanities & Bioethics, Little Rock, Arkansas.
Pediatrics. 2023 Sep 1;152(3). doi: 10.1542/peds.2023-061832.
Despite apparent disagreement in the scholarly literature on standards of pediatric decision making, a recognition that similar norms underpin many of the dominant frameworks motivated a June 2022 symposium "Best Interests and Beyond: Standards of Decision Making in Pediatrics" in St Louis, MO. Over the course of this 3-day symposium, 17 expert scholars (see author list) deliberated on the question "In the context of US pediatric care, what moral precepts ought to guide parents and clinicians in medical decision making for children?" The symposium and subsequent discussion generated 6 consensus recommendations for pediatric decision making, constructed with the primary goals of accessibility, teachability, and feasibility for practicing clinicians, parents, and legal guardians. In this article, we summarize these recommendations, including their justification, limitations, and remaining concerns.
尽管在关于儿科决策标准的学术文献中存在明显的分歧，但人们认识到，许多主导框架都有类似的规范，这促使 2022 年 6 月在密苏里州圣路易斯举行了一次题为“最佳利益与超越：儿科决策标准”的研讨会。在为期 3 天的研讨会上，17 名专家学者（见作者名单）就“在美国儿科护理中，哪些道德戒律应该指导父母和临床医生为儿童做出医疗决策？”这一问题进行了审议。研讨会及随后的讨论产生了 6 项儿科决策的共识建议，这些建议的构建主要考虑了临床医生、父母和法定监护人的可及性、可教性和可行性。在本文中，我们总结了这些建议，包括其理由、局限性和仍存在的问题。
