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俄勒冈健康决策。一项获得社区知情同意的实验。

Oregon Health Decisions. An experiment with informed community consent.

作者信息

Crawshaw R, Garland M J, Hines B, Lobitz C

出版信息

JAMA. 1985 Dec 13;254(22):3213-6. doi: 10.1001/jama.254.22.3213.

Abstract

Oregon Health Decisions is a citizen-based project intended to develop statewide awareness of severe bioethical dilemmas. The project has set in motion civic means for addressing and resolving problems in Oregon's health provision system associated with personal autonomy, equity of access, prevention of illness, and humane cost containment. The process of civic involvement with consequent results is described together with the implications for future health policy in Oregon and elsewhere.

摘要

俄勒冈健康决策是一个基于公民的项目,旨在提高全州对严重生物伦理困境的认识。该项目启动了公民手段,以解决和化解俄勒冈州医疗供应系统中与个人自主权、就医公平性、疾病预防及合理控制成本相关的问题。文中描述了公民参与的过程及其产生的结果,以及对俄勒冈州和其他地区未来卫生政策的影响。

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