Ajluni Victor
Department of Psychiatry Wayne State University Detroit Michigan USA.
J Gen Fam Med. 2025 Apr 8;26(4):379-380. doi: 10.1002/jgf2.70013. eCollection 2025 Jul.
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.
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。