Young E W, Marcus F S, Drought T, Mendiola M, Ciesielski-Carlucci C, Alpers A, Eaton M, Koenig B A, Loewy E, Raffin T A, Ross C
Standford University Center for Biomedical Ethics, California, USA.
West J Med. 1997 Jun;166(6):381-8.
In September 1996, the Stanford University Center for Biomedical Ethics convened a conference entitled "Comprehensive Care of the Terminally Ill: The Northern California Consensus Development Conference for Guidelines on Aid-in-Dying." The regionally based, multidisciplinary conference gathered people from a variety of disciplines and diverse perspectives on physician aid-in-dying. This report documents important points of convergence, disagreement, and uncertainty that emerged from the conference and provides commentary on crucial issues: the definition of terminal illness, ensuring adequate palliative care, psychiatric challenges, coping with family pressures, the doctor-patient relationship, the managed care context, the role of ethics committees, and institutional challenges. Should physician aid-in-dying become a legal practice in California, the report will provide guidance to health care organizations, health professionals, and public policy officials engaged in local or state guideline or policy development.
1996年9月，斯坦福大学的生物医学伦理中心召开了一次会议，名为“晚期绝症患者的全面护理：北加利福尼亚关于临终关怀指南的共识发展会议”。这次以地区为基础的多学科会议汇聚了来自不同学科、对医生协助死亡持有不同观点的人士。本报告记录了会议中出现的重要共识、分歧和不确定性，并对关键问题进行了评论：绝症的定义、确保充分的姑息治疗、精神方面的挑战、应对家庭压力、医患关系、管理式医疗环境、伦理委员会的作用以及机构面临的挑战。如果医生协助死亡在加利福尼亚成为一种合法行为，本报告将为参与地方或州指南或政策制定的医疗保健组织、医疗专业人员和公共政策官员提供指导。
