Singer P A, Robertson G, Roy D J
University of Toronto Joint Centre for Bioethics, Toronto ON.
CMAJ. 1996 Dec 15;155(12):1689-92.
Advance rate planning is a process whereby a patient, in consultation with health care providers, family members and important others, makes decisions about his or her future health care. Grounded in the ethical principle of autonomy and the legal doctrine of consent, advance care planning helps to ensure that the norm of consent is respected should the patient become incapable of participating in treatment decisions. Physicians can play an important role by informing patients about advance care planning directing them to appropriate resources, counselling them as they engage in advance care planning and helping them to tailor advance directives to their prognosis.
预立医疗计划是一个患者与医疗服务提供者、家庭成员及其他重要人员协商,就其未来医疗保健做出决策的过程。基于自主的伦理原则和同意的法律原则,预立医疗计划有助于确保在患者无法参与治疗决策时,同意的规范得到尊重。医生可以发挥重要作用,告知患者预立医疗计划,引导他们获取适当的资源,在他们进行预立医疗计划时提供咨询,并帮助他们根据预后制定预立医嘱。