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物理治疗实践中伦理问题的识别。

The identification of ethical issues in physical therapy practice.

作者信息

Triezenberg H L

机构信息

Department of Health Promotion and Rehabilitation, Central Michigan University, Mt Pleasant 48859, USA.

出版信息

Phys Ther. 1996 Oct;76(10):1097-107; discussion 1107-8. doi: 10.1093/ptj/76.10.1097.

DOI:10.1093/ptj/76.10.1097
PMID:8863763
Abstract

BACKGROUND AND PURPOSE

The purpose of this study was to identify the current ethical issues facing physical therapists and (2) ethical issues that may be faced in the future by physical therapists.

SUBJECTS AND METHODS

The Delphi technique was used as the research design for this study. The panel of experts for the study were selected from Papers submitted by past and present members of the Judicial Committee of the American Physical Therapy Association. A series of three questionnaires were sent to the members of the panel. Following the Delphi technique, the first questionnaire contained broad questions designed to elicit a wide range of responses. The second and third questionnaires were then developed from the information received in the preceding questionnaire.

RESULTS

The results of the first question of the study identified 10 current ethical issues as consensus choices by the panel and 3 issues as near-consensus. The panel responses to the second question identified 4 future ethical issues. A combined list of current and future contained 16 issues in physical therapy.

CONCLUSION AND DISCUSSION

The 16 issues addressed ethical considerations in different areas of physical therapy practice: 6 issues involving patient rights and welfare, 5 professional issues, and 5 issues relating to business and economic factors. Thirteen of these issues have not been discussed in previous physical therapy literature and would be suggested topics for future study.

摘要

背景与目的

本研究的目的是确定物理治疗师当前面临的伦理问题以及(2)物理治疗师未来可能面临的伦理问题。

对象与方法

本研究采用德尔菲技术作为研究设计。研究的专家小组选自美国物理治疗协会司法委员会过去和现在成员提交的论文。向专家小组成员发送了一系列三份问卷。按照德尔菲技术,第一份问卷包含旨在引发广泛回答的宽泛问题。然后根据在前一份问卷中收到的信息制定第二份和第三份问卷。

结果

研究的第一个问题的结果确定了10个当前伦理问题为专家小组的共识选择,3个问题为接近共识。专家小组对第二个问题的回答确定了4个未来伦理问题。当前和未来问题的综合列表包含物理治疗中的16个问题。

结论与讨论

这16个问题涉及物理治疗实践不同领域的伦理考量:6个问题涉及患者权利和福利,5个专业问题,以及5个与商业和经济因素相关的问题。其中13个问题在以前的物理治疗文献中未被讨论过,将作为未来研究的建议主题。

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