• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Psychosomatics >Re: Psychiatric evaluation of mental capacity in the general hospital: a significant teaching opportunity.
【24h】

Re: Psychiatric evaluation of mental capacity in the general hospital: a significant teaching opportunity.

机译：回复：综合医院精神能力的精神病学评估：一个重要的教学机会。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

TO THE EDITOR: The article by Kornfeld et al., is an important contribution to the literature of discharges against medical advice (AMA), an area desperately in need of more quality empiric data. The authors report that they classified a C-L consultation as successful, for example, if the patient ultimately remained in the hospital after initially planning on leaving AMA. Given the authors' conclusion that ero-sion of the physician-patient relationship may be responsible for an increase in AMA discharges, the decision to characterize successful consultations as such was noteworthy. Likewise, the authors use of the phase "threatening to sign out AMA" suggests that patients' preferences around discharge decisions are uniformly aggressive and inappropriate, a conclusion not supported by the presented data. If patients and physicians are to achieve the ideal of a shared decision-making process, a successful outcome surrounding an AMA decision should be measured not simply by whether the patient acquiesced to the physician's recommendation, but by whether a competent patient's preferences and values were elicited and followed.
机译：致编者：Kornfeld等人的文章对反医学建议出院（AMA）的文献做出了重要贡献，而该领域急需更多高质量的经验数据。作者报告说，他们将C-L咨询分类为成功，例如，如果患者最初计划离开AMA后最终仍留在医院。鉴于作者得出的结论，医患关系的恶化可能是AMA出院量增加的原因，因此值得一提的是将成功诊治定性为特征的决定。同样，作者使用“威胁退出AMA”阶段表明，患者对出院决定的偏爱是一致的，不恰当的，所提供的数据不支持这一结论。如果患者和医生要实现共同决策过程的理想，则不仅要根据患者是否默认医生的建议来衡量AMA决策的成功结果，还应根据是否引起了有能力的患者的偏爱和价值观来衡量然后。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号