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Pitfalls in assessment of decision-making capacity.

机译：决策能力评估中的陷阱。

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摘要

A total of 395 consultation-liaison psychiatrists, geriatricians, and geriatric psychologists responded to a survey that asked them to rate the frequency and importance to clinical care of 23 potential pitfalls and misunderstandings by clinicians who refer patients for assessment of decision-making capacity. Respondents also indicated which pitfalls were the most important to address in educating health care professionals. Overall, 22 of 23 pitfalls were rated as common by more than half of the respondents. Thirty-six percent of the respondents indicated that the most important pitfall to address in educating health care professionals was the tendency for health care practitioners to assume that a patient who lacks capacity for one type of medical decision also lacks capacity for all medical decisions. The results suggest that additional education is needed to improve clinicians' ability to evaluate patients' decision-making capacity.
机译：共有395名咨询精神病学家，老年病学家和老年心理学家对一项调查做出了回应，该调查要求他们对23个潜在的陷阱和误诊产生的频率和重要性进行评估，这些误诊和误诊由临床医生转介患者来评估决策能力。受访者还指出，在教育医疗保健专业人员方面，哪些陷阱最重要。总体而言，超过一半的受访者将23个陷阱中的22个评为普遍。 36％的受访者表示，在培训医疗保健专业人员方面要解决的最重要陷阱是，医疗保健从业者倾向于认为缺乏一种医疗决策能力的患者也缺乏所有医疗决策能力。结果表明，需要进一步的教育以提高临床医生评估患者决策能力的能力。

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