• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

“如果你建好了,他们就会来……但会走错门:通过患者门户网站评估患者及护理人员发起的伦理咨询”

'If you build it, they will come…to the wrong door: evaluating patient and caregiver-initiated ethics consultations via a patient portal'.

作者信息

Blackler Liz, Scharf Amy E, Matsoukas Konstantina, Colletti Michelle, Voigt Louis P

机构信息

Ethics Committee, Memorial Sloan Kettering Cancer Center, New York, New York, USA

Ethics Committee, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

出版信息

BMJ Health Care Inform. 2024 Apr 27;31(1):e100988. doi: 10.1136/bmjhci-2023-100988.

DOI:10.1136/bmjhci-2023-100988
PMID:38677775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11107804/
Abstract

OBJECTIVES

Memorial Sloan Kettering Cancer Center (MSK) sought to empower patients and caregivers to be more proactive in requesting ethics consultations.

METHODS

Functionality was developed on MSK's electronic patient portal that allowed patients and/or caregivers to request ethics consultations. The Ethics Consultation Service (ECS) responded to all requests, which were documented and analysed.

RESULTS

Of the 74 requests made through the portal, only one fell under the purview of the ECS. The others were primarily requests for assistance with coordinating clinical care, hospital resources or frustrations with the hospital or clinical team.

DISCUSSION

To better empower patients and caregivers to engage Ethics, healthcare organisations and ECSs must first provide them with accessible, understandable and iterative educational resources.

CONCLUSION

After 19.5 months, the 'Request Ethics Consultation' functionality on the patient portal was suspended. Developing resources on the role of Ethics for our patients and caregivers remains a priority.

摘要

目标

纪念斯隆凯特琳癌症中心(MSK)试图让患者及护理人员在请求伦理咨询时更加主动。

方法

在MSK的电子患者门户网站上开发了一项功能,使患者和/或护理人员能够请求伦理咨询。伦理咨询服务(ECS)对所有请求做出回应,并进行记录和分析。

结果

通过该门户网站提出的74项请求中,只有一项属于ECS的职权范围。其他请求主要是关于协调临床护理、医院资源的协助,或对医院或临床团队感到沮丧。

讨论

为了更好地让患者和护理人员参与伦理事务,医疗保健组织和ECS必须首先为他们提供易于获取、易于理解且反复更新的教育资源。

结论

19.5个月后,患者门户网站上的“请求伦理咨询”功能暂停。为我们的患者和护理人员开发关于伦理角色的资源仍然是一个优先事项。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd67/11107804/692786dbdaa0/bmjhci-2023-100988f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd67/11107804/692786dbdaa0/bmjhci-2023-100988f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd67/11107804/692786dbdaa0/bmjhci-2023-100988f01.jpg

相似文献

1
'If you build it, they will come…to the wrong door: evaluating patient and caregiver-initiated ethics consultations via a patient portal'.“如果你建好了,他们就会来……但会走错门:通过患者门户网站评估患者及护理人员发起的伦理咨询”
BMJ Health Care Inform. 2024 Apr 27;31(1):e100988. doi: 10.1136/bmjhci-2023-100988.
2
Ethics Consultation Requests After Implementation of an Electronic Health Record Order.实施电子病历医嘱后的伦理咨询请求
JCO Oncol Pract. 2022 Sep;18(9):e1505-e1512. doi: 10.1200/OP.22.00174. Epub 2022 Jun 24.
3
What triggers requests for ethics consultations?是什么引发了伦理咨询请求?
J Med Ethics. 2001 Apr;27 Suppl 1(Suppl 1):i24-9. doi: 10.1136/jme.27.suppl_1.i24.
4
An ethics consultation service in a teaching hospital. Utilization and evaluation.一家教学医院的伦理咨询服务。使用情况与评估。
JAMA. 1988 Aug 12;260(6):808-11.
5
Gender and Race in the Timing of Requests for Ethics Consultations: A Single-Center Study.伦理咨询请求时机中的性别与种族:一项单中心研究
J Clin Ethics. 2016 summer;27(2):154-62.
6
Is there a need for a clear advice? A retrospective comparative analysis of ethics consultations with and without recommendations in a maximum-care university hospital.是否需要明确的建议?对一家顶级大学医院中有和没有建议的伦理咨询进行回顾性比较分析。
BMC Med Ethics. 2021 Mar 2;22(1):20. doi: 10.1186/s12910-021-00590-x.
7
Call to action: empowering patients and families to initiate clinical ethics consultations.行动呼吁:赋予患者及其家属启动临床伦理咨询的权力。
J Med Ethics. 2023 Apr;49(4):240-243. doi: 10.1136/medethics-2021-107426. Epub 2021 Nov 3.
8
Patient-Caregiver Portal System in Palliative Oncology: Assessment of Usability and Perceived Benefit.姑息肿瘤学中的医患门户系统:可用性和感知效益评估。
JMIR Hum Factors. 2023 Nov 2;10:e47624. doi: 10.2196/47624.
9
Characteristics and Outcomes of Ethics Consultations on a Comprehensive Cancer Center's Gastrointestinal Medical Oncology Service.综合癌症中心胃肠医学肿瘤服务伦理咨询的特征与结果
HEC Forum. 2018 Dec;30(4):379-387. doi: 10.1007/s10730-018-9357-4.
10
Connecting Families to Their Health Record and Care Team: The Use, Utility, and Impact of a Client/Family Health Portal at a Children's Rehabilitation Hospital.将家庭与他们的健康记录及护理团队相连:一家儿童康复医院中客户/家庭健康门户的使用、效用及影响。
J Med Internet Res. 2017 Apr 6;19(4):e97. doi: 10.2196/jmir.6811.

本文引用的文献

1
Ethics Consultation Requests After Implementation of an Electronic Health Record Order.实施电子病历医嘱后的伦理咨询请求
JCO Oncol Pract. 2022 Sep;18(9):e1505-e1512. doi: 10.1200/OP.22.00174. Epub 2022 Jun 24.
2
Call to action: empowering patients and families to initiate clinical ethics consultations.行动呼吁:赋予患者及其家属启动临床伦理咨询的权力。
J Med Ethics. 2023 Apr;49(4):240-243. doi: 10.1136/medethics-2021-107426. Epub 2021 Nov 3.
3
The Moral Distress of Patients and Families.患者及其家属的道德困境
Am J Bioeth. 2020 Jun;20(6):68-70. doi: 10.1080/15265161.2020.1754522.
4
Patient and Family Descriptions of Ethical Concerns.患者及其家属对伦理问题的描述。
Am J Bioeth. 2020 Jun;20(6):52-64. doi: 10.1080/15265161.2020.1754500.
5
Values, Quality, and Evaluation in Ethics Consultation.伦理咨询中的价值观、质量与评估
AJOB Empir Bioeth. 2016;7(4):227-234. doi: 10.1080/23294515.2015.1127295. Epub 2016 Jan 12.
6
How physicians face ethical difficulties: a qualitative analysis.医生如何面对伦理困境:一项定性分析。
J Med Ethics. 2005 Jan;31(1):7-14. doi: 10.1136/jme.2003.005835.
7
A national survey of U.S. internists' experiences with ethical dilemmas and ethics consultation.一项关于美国内科医生面临伦理困境及伦理咨询经历的全国性调查。
J Gen Intern Med. 2004 Mar;19(3):251-8. doi: 10.1111/j.1525-1497.2004.21238.x.