Cincinnati Children's Hospital, Cincinnati, Ohio.
University of Cincinnati, Cincinnati, Ohio.
Pediatrics. 2024 Oct 1;154(4). doi: 10.1542/peds.2023-065110.
Children in foster care have complexity around medical decision-making because of their unique custody status. When medical decision-making is necessary for a child in foster care, what perspectives are important? What if opinions are not aligned? Who makes the final decision for consent? This Ethics Rounds focuses on a young child in foster care who has had repeated ear infections. Foster caregivers and family of origin are not in agreement on the treatment plan. Two experts, a foster care pediatrician and a child welfare professional, comment on the important considerations for the case, including involvement of legal representation and best interest representation in medical decision-making as well as the variability in child welfare response by state.
寄养儿童的医疗决策较为复杂，这是由其独特的监护身份所决定的。当寄养儿童需要进行医疗决策时，哪些观点是重要的？如果意见不一致怎么办？谁来做出最终的同意决定？本伦理案例讨论的是一名患有反复耳部感染的寄养儿童。寄养照顾者和原生家庭对治疗方案存在分歧。两位专家，一名儿科寄养医生和一名儿童福利专业人士，对该案例的重要考虑因素进行了评论，包括法律代表和最佳利益代表在医疗决策中的参与，以及各州在儿童福利方面的反应差异。
