生前预嘱的争论、困境与出路OA北大核心
Debate,Dilemma,and Solution of Living Will
生前预嘱是患者在意识清楚时自主选择病危或临终阶段所希望接受医疗护理方案的意愿记录.由于受传统伦理观念、政策法律、医疗服务供给等因素的影响,生前预嘱的社会实施存在着较大的现实阻力.因此,应加强公民的生命观、死亡观教育,完善生前预嘱具体操作程序,建立缓和医疗国家保障制度,以更好地推动中国临终关怀事业的发展.
A living will is a record of the patient’s willingness to choose the medical care plan at the critical or dying stage when the patient is conscious.Due to the influences of traditional ethical ideas,policies,laws,medical service supply and other factors,the social implementation of living wills face great obstacles.Therefore,we should strengthen the education of citizens’view of life and death,improve the specific operation procedures of living wills,and establish a national security system for palliative care,so as to better promote the development of hospice care in China.
陈龙
北京大学公共卫生学院全球卫生学系,北京 100191
临床医学
生前预嘱生命权医疗自主权缓和医疗
living willright to lifemedical autonomypalliative care
《中国医学科学院学报》 2025 (1)
63-67,5
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