Hoge S K
University of Virginia School of Law, Charlottesville, USA.
Bull Am Acad Psychiatry Law. 1994;22(4):577-86.
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.
《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。
