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A survey of Louisiana hospital ethics committees.

机译:路易斯安那州医院伦理委员会的调查。

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摘要

OBJECTIVES: To obtain a picture of hospital ethics committees (HECs) in the State of Louisiana. Compare results to other published studies. Gauge interest and participation in HECs by otolaryngologists. STUDY DESIGN: Mail in questionnaire to all hospitals in Louisiana. Minisurvey distributed to randomly selected otolaryngologists. METHODS: A questionnaire was mailed to the 194 hospitals identified by the Louisiana State Hospital Association. Questions included the presence and description of HECs plus the demographic data for the hospitals. RESULTS: Eighty-eight hospitals returned the survey. A HEC was present in 69. Membership was most often multidisciplinary. The annual growth rate ranged from 1.7% to 6%-8%. Teaching hospitals and larger hospitals tended to have a higher frequency rate of HECs. Like most US HECs, this state's committee primary functions included case consultation, education, and policy review. About 30% of otolaryngologists surveyed had some experience with a HEC. CONCLUSIONS: Louisiana's HEC construction and function appear similar to those committees found in other US hospitals. Membership is multidisciplinary. The three major functions are education, policy development and case consultation. Larger institutions tend to have a higher frequency of HECs. The growth rate of HECs increased in the early 1990s. As the ethical issues in contemporary medicine become more complex, especially with technological advances, HECs can anticipate constant new challenges. Future direction may focus on the evaluation of how well HECs function and on how improvements can be made.
机译:目的:获得路易斯安那州医院伦理委员会(HEC)的图片。将结果与其他已发表的研究进行比较。引起耳鼻喉科医生的兴趣和参与。研究设计:邮寄问卷调查表给路易斯安那州的所有医院。 Minisurvey分发给随机选择的耳鼻喉科医师。方法:将调查表邮寄给路易斯安那州立医院协会确定的194家医院。问题包括HEC的存在和描述以及医院的人口统计数据。结果:88家医院返回了调查。 HEC在69个国家中存在。成员身份通常是多学科的。年增长率从1.7%到6%-8%。教学医院和大型医院的HEC频率较高。与大多数美国HEC一样,该州委员会的主要职能包括案件咨询,教育和政策审查。接受调查的耳鼻喉科医生中约有30%具有HEC的经验。结论:路易斯安那州的HEC的结构和功能与美国其他医院中的委员会相似。成员资格是多学科的。三个主要功能是教育,政策制定和案件咨询。较大的机构往往有较高的HEC频率。在1990年代初期,HEC的增长率有所提高。随着当代医学中的伦理问题变得越来越复杂,尤其是随着技术的进步,HEC可以预见不断的新挑战。未来的方向可能集中在评估HEC的运行状况以及如何进行改进方面。

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