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临床诊疗决策中的伦理问题与共同决策之道

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从临床诊疗决策要素与伦理考量下诊疗决策的过程,临床诊疗决策的伦理问题,医患共同决策的内涵及意义,医患共同决策案例分享 4个方面阐述临床诊疗决策的伦理问题及医患共同决策对解决伦理问题的帮助.在临床诊疗决策的过程中,医生需要运用医学人文的思维,认真考虑临床诊疗决策过程中的伦理问题,遵循尊重、不伤害、有利和公平公正的伦理原则,通过医患双方的交流与沟通,让患者及家属充分知情并自愿同意,作出最优化的医患共同决策,确保诊疗决策的合理性与道德性,为促进医患关系、保障患者权益、提高医疗服务质量提供借鉴与参考.
Ethical Issues in Clinical Decision-making and the Path to Shared Decision-making
This article expounds the ethical issues in clinical decision-making and the role of shared decision-making in addressing these challenges from four aspects:the process of clinical decision-making under ethical considerations,ethical issues of clinical decision-making,the connotation and significance of doctor-patient shared decision-making,and case studies of shared decision-making.In the process of clinical decision-making,doctors need to adopt a humanistic approach to medicine,carefully consider the ethical issues in the process of clinical decision-making,and adhering to the ethical principles of respect,non-harm,beneficence,and fairness.Through effective communication and exchange between physicians and patients,patients and their families should be fully informed and provide voluntary consent,leading to optimized shared decisions.This approach ensures the rationality and ethical soundness of clinical decisions,offering insights and references for improving doctor-patient relationships,safeguarding patients'rights,and enhancing the quality of medical services.

clinical decision-makingdoctor-patient shared decision-makingethical issues

张雷、盛锡楠、李洁

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北京大学肿瘤医院暨北京市肿瘤防治研究所医学伦理委员会/恶性肿瘤发病机制及转化研究教育部重点实验室 北京 100142

北京大学肿瘤医院暨北京市肿瘤防治研究所泌尿肿瘤内科/恶性肿瘤发病机制及转化研究教育部重点实验室 北京 100142

临床诊疗决策 医患共同决策 伦理问题

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(24)