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从伦理视角看医患共同决策的多种模式

莫娟 刘激扬

中国医学伦理学2024,Vol.37Issue(3):261-265,5.
中国医学伦理学2024,Vol.37Issue(3):261-265,5.DOI:10.12026/j.issn.1001-8565.2024.03.02

从伦理视角看医患共同决策的多种模式

Multiple modes of doctors-patients shared decision-marking from the ethical perspective

莫娟 1刘激扬2

作者信息

  • 1. 长沙市第一医院医务部,湖南 长沙 410005
  • 2. 长沙市卫生健康委员会办公室,湖南 长沙 410013
  • 折叠

摘要

Abstract

The shared decision marking between doctors and patients is a moral requirement,which stems from the basic rights of medical staff to accept patients or their families,such as autonomy,informed consent and choice.In order to achieve the shared decision marking between doctors and patients,medical staff and patients play different roles.The task of medical staff is to introduce professional knowledge and specific experience,provide patients with multiple recommendations for diagnosis and treatment choices,and the task of patients is to choose treatment plans recognized in the shared decision marking based on their understanding of medical and ethical knowledge such as treatment goals,health values,and basic rights.From the ethical perspective,based on the shared decision marking between doctors and patients,this study deeply analyzes its ethical significance.Centering on the basic requirements of ethics,this study explores various practical models such as the doctor-patient joint participation model,the doctor-patient-family joint participation model,the doctor-nurse-patient joint participation model,the high-risk case conversation model of medical intervention,and the multidisciplinary team collaboration model from multiple perspectives and depths,to further promote the implementation of the shared decision marking between doctors and patients and to provide some reference basis.

关键词

医患共同决策/医学伦理/自主权/知情同意/选择权

Key words

doctor-patient shared decision-marking/medical ethics/autonomy/informed consent/choice

分类

医药卫生

引用本文复制引用

莫娟,刘激扬..从伦理视角看医患共同决策的多种模式[J].中国医学伦理学,2024,37(3):261-265,5.

基金项目

长沙市社科规划一般项目"关于加快长沙市三级公立医院高质量发展的研究"(2021csskkt01) (2021csskkt01)

中国医学伦理学

OA北大核心CSTPCD

1001-8565

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