Shaping Patients' Decisions

被引:16
作者
Swindell, J. S. [1 ]
McGuire, Amy L. [1 ]
Halpern, Scott D. [2 ,3 ]
机构
[1] Baylor Coll Med, Ctr Med Eth & Hlth Policy, Houston, TX 77030 USA
[2] Univ Penn, Sch Med, Div Pulm & Crit Care Med, Leonard Davis Inst Hlth Econ,Ctr Bioeth, Philadelphia, PA 19104 USA
[3] Univ Penn, Sch Med, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA
关键词
PATERNALISM; PERSPECTIVES; INFORMATION; AUTONOMY; DESIRE; POWER; CARE;
D O I
10.1378/chest.10-0605
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Many physicians struggle to strike an acceptable balance between respecting patient autonomy and guiding patients' decisions toward what is in their best interests based on their expressed values and long-term goals. Over the past 40 years, the ethical principle of respect for autonomy has gained primacy in Western medicine, but judgments about the appropriate dose of influence on patient decisions have been clouded by misconceptions about patient autonomy. In this article, we consider three such misconceptions with the goal of helping physicians to optimally promote their patients' interests. CHEST 2011; 139(2):424-429
引用
收藏
页码:424 / 429
页数:6
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