Perspect Biol Med. 2024;67(2):277-289. doi: 10.1353/pbm.2024.a929023.
Pediatric intervention principles help clinicians and health-care institutions determine appropriate responses when parents' medical decisions place children at risk. Several intervention principles have been proposed and defended in the pediatric ethics literature. These principles may appear to provide conflicting guidance, but much of that conflict is superficial. First, seemingly different pediatric intervention principles sometimes converge on the same guidance. Second, these principles often aim to solve different problems in pediatrics or to operate in different background conditions. The potential for convergence between intervention principles-or at least an absence of conflict between them-matters for both the theory and practice of pediatric ethics. This article builds on the recent work of a diverse group of pediatric ethicists tasked with identifying consensus guidelines for pediatric decision-making.
儿科干预原则帮助临床医生和医疗机构在父母的医疗决策使儿童面临风险时确定适当的应对措施。在儿科伦理学文献中提出并辩护了几个干预原则。这些原则似乎提供了相互冲突的指导，但其中许多冲突是表面的。首先，看似不同的儿科干预原则有时会得出相同的指导。其次，这些原则通常旨在解决儿科中的不同问题，或者在不同的背景条件下运作。干预原则之间的趋同可能性——或者至少它们之间不存在冲突——对儿科伦理学的理论和实践都很重要。本文建立在最近一项由一群不同的儿科伦理学家进行的工作的基础上，他们的任务是为儿科决策制定确定共识指南。
