过度调查：伦理辩论

IF 1.7 4区医学 Q2 PEDIATRICS

Indian pediatrics Pub Date : 2024-08-29 DOI:10.1007/s13312-024-3261-6

Nikith Austin Dsouza, H. C. Girish, Mahesh Kore, Yeshwant Krishna Amdekar, Aarti Avinash Kinikar

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引用次数: 0

摘要

过度调查导致医疗费用不断攀升，其原因是多方面的，包括医生的决定、病人的要求、信息超载、技术进步、市场营销、医院管理政策、保险要求和防御性做法。在应对医学不确定性的同时，协调知识与临床智慧之间的关系，是穿越伦理迷宫的主要途径。一个案例说明了儿科医生在面对理性调查决策时需要反思的问题，以最大限度地提高医疗服务的效益，同时注意医疗服务的经济性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Over Investigation: An Ethical Debate

Over investigations contribute to escalating health costs driven by multiple factors including physician decisions, patient requests, information overload, technological advances, marketing, hospital management policies, insurance requirements and defensive practices. The reconciliation between knowledge and clinical wisdom while dealing with uncertainties in medicine is the primary way forward through this ethical maze. A case scenario illustrates what pediatricians need to reflect upon while facing decisions on rational investigations to maximize beneficence while being aware of economics of healthcare delivery.

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来源期刊

Indian pediatrics 医学-小儿科

CiteScore

3.30

自引率

8.70%

发文量

344

审稿时长

3-8 weeks

期刊介绍： The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are: -To publish original, relevant, well researched peer reviewed articles on issues related to child health. -To provide continuing education to support informed clinical decisions and research. -To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics. -To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.