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首页> 外文期刊>Journal of medical ethics >The ethics of policy writing: how should hospitals deal with moral disagreement about controversial medical practices?
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The ethics of policy writing: how should hospitals deal with moral disagreement about controversial medical practices?

机译：政策撰写的道德规范：医院应如何处理有争议的医疗实践的道德分歧？

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Every healthcare organisation (HCO) enacts a multitude of policies, but there has been no discussion as to what procedural and substantive requirements a policy writing process should meet in order to achieve good outcomes and to possess sufficient authority for those who are asked to follow it.Using, as an example, the controversy about patient's refusal of blood transfusions, I argue that a hospital wide policy is preferable to individual decision making, because it ensures autonomy, quality, fairness, and efficiency.Policy writing for morally controversial medical practices needs additional justification compared to policies on standard medical practices and secures legitimate authority for HCO members by meeting five requirements: all parties directed by the policy are represented; the deliberative process encompasses all of the HCO's obligations; the rationales for the policy are made available; there is a mechanism for criticising, and for evaluating the policy.
机译：每个医疗保健组织（HCO）都制定许多政策，但是对于为了达到良好的结果并为要求遵循该政策的人拥有足够的权限，政策撰写过程应满足哪些程序和实质性要求，目前尚无讨论。例如，以关于患者拒绝输血的争议为例，我认为医院范围内的政策优于个人决策，因为它确保了自治，质量，公平和效率。与符合标准医疗惯例的政策相比有更多的理由，并通过满足五项要求来确保HCO成员具有合法授权：代表该政策指示的所有当事方;审议过程涵盖了HCO的所有义务;提供了该政策的基本原理;有批评和评估政策的机制。

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