【门诊过程中的患者教育】。

IF 0.5 4区 医学 Q4 UROLOGY & NEPHROLOGY
Torsten Nölling, Lisa-Marie Büchner
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引用次数: 0

摘要

患者教育是医生在治疗合同中的一项重要义务。从2023年1月开始,AOP目录(根据德国社会法典(SGB V)第五卷第115b节可在门诊基础上进行的手术目录)的扩展开辟了新的门诊治疗选择,这些选择往往涉及更高的风险。在告知患者时必须考虑到这一风险概况。在任何情况下,应该选择信息的时机,以便患者能够以深思熟虑的方式表示同意。信息和同意之间没有固定的“封锁期”,因此患者可以立即表示同意。在高危手术的情况下,应提前几天告知患者。确定正确时间的标准是手术的类型和严重程度、紧急程度和患者的个人情况。所提供的信息应是完整和可理解的,包括诊断、治疗需要、风险和替代方案。对所提供的信息进行全面的记录是不言而喻的。在适当的情况下,可以进行远程医疗咨询,但能否及时和完整地提供咨询的风险仍由执行程序的医生承担。鉴于门诊手术需要在家随访,安全信息应更加全面。AOP目录的扩展为门诊程序开辟了新的机会,但也存在法律风险。需要适应的风险和安全信息,因此远程医疗可以优化实践组织。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Patient education during outpatient procedures].

Patient education is a key obligation for doctors under the treatment contract. The expansion of the AOP catalogue (catalogue of operations that can be performed on an outpatient basis in accordance with Section 115b of the Fifth Book of the German Social Code (SGB V)) from January 2023 opens up new outpatient treatment options that tend to involve higher risks. This risk profile must be taken into account when informing patients.In any case, the timing of the information should be chosen so that the patient can give their consent in a well-considered manner. There is no fixed "blocking period" between information and consent, so the patient can consent immediately. In the case of high-risk procedures, the patient should be informed several days in advance. Criteria for determining the right time are the type and severity of the procedure, urgency and individual circumstances of the patient. The information provided should be complete and comprehensible, including the diagnosis, need for treatment, risks and alternatives. Comprehensive documentation of the information provided goes without saying.Telemedical counselling is possible in suitable cases, but the risk of timely and complete counselling remains with the doctor performing the procedure. In view of outpatient procedures that require follow-up care at home, the safety information should be more comprehensive.The expansion of the AOP catalogue opens up new opportunities for outpatient procedures, but harbours legal risks. Adapted risk and safety information is required, whereby telemedicine can optimise practice organisation.

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来源期刊
Urologie
Urologie UROLOGY & NEPHROLOGY-
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