Convening expert panels to identify mental capacity assessment items

被引:3
作者
Naglie, G
Silberfeld, M
ORourke, K
Fried, B
Durham, N
Bombardier, C
Detsky, A
机构
[1] UNIV TORONTO,DEPT MED & HLTH ADM,TORONTO,ON M5S 1A1,CANADA
[2] BAYCREST CTR GERIATR CARE,COMPETENCY CLIN,TORONTO,ON,CANADA
[3] TORONTO HOSP,CLIN EPIDEMIOL UNIT,TORONTO,ON,CANADA
[4] UNIV N CAROLINA,DEPT HLTH POLICY & ADM,CHAPEL HILL,NC
[5] UNIV TORONTO,CLIN EPIDEMIOL UNIT,TORONTO,ON M5S 1A1,CANADA
来源
CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT | 1995年 / 14卷 / 04期
关键词
mental capacity; competency; consensus; judgmental; method;
D O I
10.1017/S0714980800016408
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
The objective of this study was to attempt to develop an index of assessment items important to most, if not all, mental capacity determinations. A group process, judgmental method was used. Three separate panels of multidisciplinary experts were assembled to define relevant assessment items and to assign importance weights to the items. All three panels generated a list of assessment items, but panelists refused to assign importance weights. Four items were identified by all three panels, six were identified by two panels, and three were identified by one panel only. A composite list of mental capacity assessment items was generated, but the study failed to generate a standardized assessment instrument.
引用
收藏
页码:697 / 705
页数:9
相关论文
共 28 条
[1]  
APPELBAUM PS, 1981, AM J PSYCHIAT, V138, P1462
[2]   ASSESSING PATIENTS CAPACITIES TO CONSENT TO TREATMENT [J].
APPELBAUM, PS ;
GRISSO, T .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 319 (25) :1635-1638
[3]  
BOMBARDIER C, 1982, J RHEUMATOL, V9, P798
[4]  
Campbell L J, 1987, Clin Geriatr Med, V3, P99
[5]   FEASIBILITY OF SIMULATING PHYSICIANS JUDGMENTS OF PATIENT SEVERITY [J].
CHOI, T ;
BREKKE, ML ;
CAMPION, BC ;
LONG, LA ;
BREKKE, M .
MEDICAL CARE, 1984, 22 (01) :30-41
[6]  
DICKSON ML, 1982, HLTH LAW CANADA, V3, P69
[7]   COMPETENCY TO GIVE AN INFORMED CONSENT - A MODEL FOR MAKING CLINICAL ASSESSMENTS [J].
DRANE, JF .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1984, 252 (07) :925-927
[8]   CONSTRUCTING A COMPLEX JUDGMENTAL MODEL - AN INDEX OF TRAUMA SEVERITY [J].
FRYBACK, DG ;
KEENEY, RL .
MANAGEMENT SCIENCE, 1983, 29 (08) :869-883
[9]  
Gustafson D H, 1975, Health Serv Res, V10, P97
[10]   A DECISION THEORETIC METHODOLOGY FOR SEVERITY INDEX DEVELOPMENT [J].
GUSTAFSON, DH ;
FRYBACK, DG ;
ROSE, JH ;
YICK, V ;
PROKOP, CT ;
DETMER, DE ;
MOORE, J .
MEDICAL DECISION MAKING, 1986, 6 (01) :27-35