Frader J E
Pediatrics. 1979 Jul;64(1):10-6.
The results of a pilot project investigating the feelings, attitudes, and behavior of physicians working in a pediatric intensive care unit are presented. With recent technologic advances in out capacity to help patients suffering from catastrophic illness, various segments of American society have become concerned about the unrestricted use of medical science. Questions have arisen about the economic costs, long-term medical outcome, emotional costs to patients and families, legal problems, and ethical implications of "heroic" therapy. By contrast, we have asked relatively few questions about the social processes involved in providing intensive care. We know little about the emotional and functional responses of the physicians in critical care facilities, and their decision making processes remain obscure. This investigation evolved from the conviction that environments comprised of sophisticated medical technology and extensive life support systems pose pressing problems for those working and learning in them.
本文展示了一个试点项目的结果，该项目调查了在儿科重症监护病房工作的医生的感受、态度和行为。随着我们帮助患有灾难性疾病患者的能力在技术上的最新进展，美国社会各阶层开始关注医学科学的无限制使用。关于“英雄式”治疗的经济成本、长期医疗结果、对患者及其家庭的情感成本、法律问题以及伦理影响，已经出现了诸多问题。相比之下，我们对提供重症监护所涉及的社会过程提出的问题相对较少。我们对重症监护设施中医生的情感和功能反应了解甚少，他们的决策过程仍然模糊不清。这项调查源于这样一种信念，即由复杂的医疗技术和广泛的生命支持系统构成的环境，给在其中工作和学习的人带来了紧迫的问题。
