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《患者自主决定法案》与精神科护理

The patient self-determination act and psychiatric care.

作者信息

Hoge S K

机构信息

University of Virginia School of Law, Charlottesville, USA.

出版信息

Bull Am Acad Psychiatry Law. 1994;22(4):577-86.

PMID:7718930
Abstract

The Patient Self-Determination Act (PSDA) has been in effect since December 1, 1991. The primary purpose of the PSDA is to promote patient awareness of advance directives. Many psychiatrists are unaware of the PSDA and its requirements or believe that the PSDA does not apply to psychiatric facilities and patients. In this article the requirements of the PSDA are reviewed. Potential applications of advance directives in psychiatric care are discussed and problem areas are identified. It is suggested that psychiatrists take an active role in the implementation of the PSDA.

摘要

《患者自主决定法案》(PSDA)自1991年12月1日起生效。该法案的主要目的是提高患者对预先医疗指示的认知。许多精神科医生并不了解PSDA及其要求,或者认为PSDA不适用于精神科机构和患者。本文对PSDA的要求进行了综述。讨论了预先医疗指示在精神科护理中的潜在应用,并确定了存在问题的领域。建议精神科医生在PSDA的实施中发挥积极作用。

引用本文的文献

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Stakeholder perspective on barrier to the implementation of Advance Care Planning in a traditionally paternalistic healthcare system.
PLoS One. 2020 Nov 10;15(11):e0242085. doi: 10.1371/journal.pone.0242085. eCollection 2020.
3
Competence to complete psychiatric advance directives: effects of facilitated decision making.
Law Hum Behav. 2007 Jun;31(3):275-89. doi: 10.1007/s10979-006-9064-6.
4
Implementing psychiatric advance directives: service provider issues and answers.
J Behav Health Serv Res. 2003 Jul-Sep;30(3):253-68. doi: 10.1007/BF02287316.

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