Lazar N M, Greiner G G, Robertson G, Singer P A
University of Toronto.
CMAJ. 1996 Nov 15;155(10):1435-7.
Substitute decision-making is a means of making health care decisions on behalf of people who are incapable of making these decisions for themselves. It is based on the ethical principle of respect for autonomy. Substitute decision-making poses two main questions: Who-should make the decision for the incapable person, and, How should the decision be made? Because the applicable statutory and common law varies across Canada, clinicians should become familiar with the legal requirements of their own province or territory.
替代决策是一种代表无法自行做出医疗保健决策的人做出此类决策的方式。它基于尊重自主权的伦理原则。替代决策提出了两个主要问题:谁应该为无行为能力的人做出决策,以及应该如何做出决策?由于适用的成文法和普通法在加拿大各地有所不同,临床医生应该熟悉自己所在省份或地区的法律要求。