医疗决策过程的哲学和伦理基础:关注病人的价值观和偏好。

IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Brian L Erstad
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引用次数: 0

摘要

目前的临床实践以循证医学(EBM)原则为基础,临床实践指南(CPG)通常是医疗决策过程的信息来源。这一过程蕴含着哲学和伦理原则,包括与患者价值观和偏好相关的原则。尽管这些原则非常重要,但与基于 EBM 原则的经验性建议相比,这些原则受到的关注可能较少。本文旨在概述医疗决策过程的哲学和伦理学基础,重点关注患者的价值观和偏好,以便药剂师和其他临床医师在提供以患者或个人为中心的护理时,能够理解科学、哲学和伦理学之间的相互作用。了解这些讨论应有助于从业人员认识到在尝试将基于人群的证据纳入特定患者的医疗决策过程时所面临的局限性和挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Philosophical and Ethical Underpinnings of the Medical Decision-Making Process: A Focus on Patient Values and Preferences.

Current clinical practice is based on the principles of evidence-based medicine (EBM) with clinical practice guidelines (CPGs) often serving as a source of information for the medical decision-making process. There are philosophical and ethical tenets underlying this process including those pertaining to patient values and preferences. Despite their importance, these tenets may receive less attention than the empirically derived recommendations in CPGs based on the principles of EBM. The purpose of this article is to provide an overview of the philosophical and ethical underpinnings of the medical decision-making process with a focus on patient values and preferences so pharmacists and other clinicians can appreciate the interplay between science, philosophy and ethics when providing patient- or person-centered care. Appreciation of these discussions should help practitioners to recognize the limitations and challenges when attempting to incorporate population-based evidence into a patient-specific medical decision-making process that often necessitates reconciliation and negotiation between the clinician and patient when striving to provide optimal care.

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来源期刊
CiteScore
5.70
自引率
0.00%
发文量
166
审稿时长
3-8 weeks
期刊介绍: Annals of Pharmacotherapy (AOP) is a peer-reviewed journal that advances pharmacotherapy throughout the world by publishing high-quality research and review articles to achieve the most desired health outcomes.The articles provide cutting-edge information about the most efficient, safe and cost-effective pharmacotherapy for the treatment and prevention of various illnesses. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 14 days
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