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有希望就有生命1:论希望在医疗保健中的重要性。

Where There's Hope, There's Life 1 : On the Importance of Hope in Health Care.

作者信息

Clarke Steve, Oakley Justin

机构信息

Charles Sturt University, Wagga Wagga, New South Wales, Australia.

Monash University, Melbourne, Victoria, Australia.

出版信息

J Med Philos. 2025 Feb 4;50(1):13-24. doi: 10.1093/jmp/jhae037.

DOI:10.1093/jmp/jhae037
PMID:39485997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11802475/
Abstract

It is widely supposed that it is important to ensure that patients undergoing medical procedures hope that their treatments will be successful. But why is hope so important, if indeed it is? After examining the answers currently on offer in the literature, we identify a hitherto unrecognized reason for supposing that it is important that patients possess hope for a successful treatment, which draws on prospect theory, Kahneman and Tversky's hugely influential descriptive theory about decision-making in situations of risk and uncertainty. We also consider some concerns about patient consent and the potential manipulation of patients that are raised by our account.

摘要

人们普遍认为,确保接受医疗程序的患者期望治疗成功很重要。但如果希望确实如此重要,那为什么它如此重要呢?在审视了文献中目前给出的答案后,我们找出了一个迄今未被认识到的理由,即认为患者对成功治疗抱有希望很重要,这一理由借鉴了前景理论,即卡尼曼和特沃斯基关于风险和不确定性情况下决策的极具影响力的描述性理论。我们还考虑了一些与患者同意以及我们的观点所引发的对患者潜在操纵有关的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cff/11802475/500674626ed3/jhae037_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cff/11802475/500674626ed3/jhae037_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cff/11802475/500674626ed3/jhae037_fig1.jpg

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本文引用的文献

1
Prospect Theory: A Bibliometric and Systematic Review in the Categories of Psychology in Web of Science.前景理论:科学网心理学分类中的文献计量与系统综述
Healthcare (Basel). 2022 Oct 20;10(10):2098. doi: 10.3390/healthcare10102098.
2
The 'false hope' argument in discussions on expanded access to investigational drugs: a critical assessment.讨论扩大试验性药物的获取途径时的“虚假希望”论点:批判性评估。
Med Health Care Philos. 2022 Dec;25(4):693-701. doi: 10.1007/s11019-022-10106-y. Epub 2022 Aug 11.
3
The science of hope.希望的科学。
Lancet Oncol. 2020 Sep;21(9):e452-e459. doi: 10.1016/S1470-2045(20)30210-2.
4
Replicating patterns of prospect theory for decision under risk.复制风险决策下前景理论的模式。
Nat Hum Behav. 2020 Jun;4(6):622-633. doi: 10.1038/s41562-020-0886-x. Epub 2020 May 18.
5
Is There a Problem With False Hope?虚假希望存在问题吗?
J Med Philos. 2019 Jul 29;44(4):423-441. doi: 10.1093/jmp/jhz010.
6
Unbiased assessment of disease surveillance utilities: A prospect theory application.无偏疾病监测工具评估:前景理论的应用。
PLoS Negl Trop Dis. 2019 May 1;13(5):e0007364. doi: 10.1371/journal.pntd.0007364. eCollection 2019 May.
7
Prescribing "Off-Label": What Should a Physician Disclose?开具“未标明适应证用药”:医生应披露哪些信息?
AMA J Ethics. 2016 Jun 1;18(6):587-93. doi: 10.1001/journalofethics.2016.18.6.ecas3-1606.
8
Could Physician Use of Realistic Previews Increase Treatment Adherence and Patient Satisfaction?医生使用逼真的预演能否提高治疗依从性和患者满意度?
Med Decis Making. 2016 Aug;36(6):683-5. doi: 10.1177/0272989X16634086. Epub 2016 Mar 1.
9
Ways of Hoping: Navigating the Paradox of Hope and Despair in Chronic Pain.希望的方式:在慢性疼痛中应对希望与绝望的悖论
Cult Med Psychiatry. 2016 Mar;40(1):35-58. doi: 10.1007/s11013-015-9465-4.
10
Valuing hope.珍视希望。
Monash Bioeth Rev. 2014 Mar-Jun;32(1-2):33-42. doi: 10.1007/s40592-014-0006-7.