Guccione A A
Phys Ther. 1980 Oct;60(10):1264-72. doi: 10.1093/ptj/60.10.1264.
This survey was an attempt to identify which ethical decisions are most frequently encountered and are most difficult to make for practicing physical therapists. A questionnaire that described 30 situations with an ethical dimension was sent to 450 American Physical Therapy Association members practicing in New England. A total of 187 (41.5%) usable questionnaires was returned. Issues raised by items were designated as primary, secondary, or nonpriority. Seven primary and 11 secondary ethical issues were identified. In brief, these issues involve the decision about which patients should be treated, what obligations are entailed by that decision, who should pay for treatment, and what duties derive from the physical therapist's relationship; with other health professionals, including physicians. Some of these decisions are more frequent in certain types of employment facilities than in others. Sources of ethical conflict and the role of the professional organization in defining moral values for the profession are discussed in this paper, and implications for education are presented.
这项调查旨在确定执业物理治疗师最常遇到且最难做出的伦理决策。一份描述了30个具有伦理维度情境的问卷被发送给了在新英格兰地区执业的450名美国物理治疗协会成员。共收回187份（41.5%）有效问卷。各项目提出的问题被指定为主要、次要或非优先问题。确定了7个主要伦理问题和11个次要伦理问题。简而言之，这些问题涉及关于应治疗哪些患者的决策、该决策带来哪些义务、谁应为治疗付费，以及物理治疗师与包括医生在内的其他健康专业人员的关系产生哪些职责。其中一些决策在某些类型的就业机构中比在其他机构中更频繁出现。本文讨论了伦理冲突的来源以及专业组织在为该专业界定道德价值观方面的作用，并提出了对教育的启示。
