Suppr超能文献

加强基层医疗中的决策能力评估:家庭医生实用指南。

Enhancing decision-making capacity assessments in primary care: A practical guide for family physicians.

作者信息

Ajluni Victor

机构信息

Department of Psychiatry Wayne State University Detroit Michigan USA.

出版信息

J Gen Fam Med. 2025 Apr 8;26(4):379-380. doi: 10.1002/jgf2.70013. eCollection 2025 Jul.

Abstract

Family physicians play a crucial role in assessing decision-making capacity, yet face challenges because of time constraints and lack of training. This article presents a structured framework to guide these assessments, ensuring ethical and efficient evaluations. By applying key principles-clarifying the decision at hand, assessing understanding, appreciation, reasoning, and expression-physicians can navigate complex cases while balancing patient autonomy with appropriate medical care.

摘要

家庭医生在评估决策能力方面发挥着关键作用,但由于时间限制和缺乏培训而面临挑战。本文提出了一个结构化框架来指导这些评估,以确保进行符合伦理且高效的评估。通过应用关键原则——阐明手头的决策、评估理解能力、领悟能力、推理能力和表达能力——医生可以在平衡患者自主权与适当医疗护理的同时处理复杂病例。

相似文献

1
Enhancing decision-making capacity assessments in primary care: A practical guide for family physicians.
J Gen Fam Med. 2025 Apr 8;26(4):379-380. doi: 10.1002/jgf2.70013. eCollection 2025 Jul.
2
Building an Ethical Framework for European Pharmacists in e-Pharmacies.
J Med Internet Res. 2025 Jul 4;27:e64750. doi: 10.2196/64750.
7
Interventions for providers to promote a patient-centred approach in clinical consultations.
Cochrane Database Syst Rev. 2012 Dec 12;12(12):CD003267. doi: 10.1002/14651858.CD003267.pub2.
8
Stench of Errors or the Shine of Potential: The Challenge of (Ir)Responsible Use of ChatGPT in Speech-Language Pathology.
Int J Lang Commun Disord. 2025 Jul-Aug;60(4):e70088. doi: 10.1111/1460-6984.70088.
9
Interventions for improving the adoption of shared decision making by healthcare professionals.
Cochrane Database Syst Rev. 2010 May 12(5):CD006732. doi: 10.1002/14651858.CD006732.pub2.
10
Hail Lifestyle Medicine consensus position statement as a medical specialty: Middle Eastern perspective.
Front Public Health. 2025 Jun 20;13:1455871. doi: 10.3389/fpubh.2025.1455871. eCollection 2025.

本文引用的文献

1
Does this patient have medical decision-making capacity?
JAMA. 2011 Jul 27;306(4):420-7. doi: 10.1001/jama.2011.1023.
2
Clinical practice. Assessment of patients' competence to consent to treatment.
N Engl J Med. 2007 Nov 1;357(18):1834-40. doi: 10.1056/NEJMcp074045.
3
Assessment of decision-making capacity in older adults: an emerging area of practice and research.
J Gerontol B Psychol Sci Soc Sci. 2007 Jan;62(1):P3-P11. doi: 10.1093/geronb/62.1.p3.
4
Ten myths about decision-making capacity.
J Am Med Dir Assoc. 2004 Jul-Aug;5(4):263-7. doi: 10.1097/01.JAM.0000129821.34622.A2.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验