Assessing decision-making capacity: A primer for the development of hospital practice guidelines

SiegelA.M.; BarnwellA.S.; SistiD.A.

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Assessing decision-making capacity: A primer for the development of hospital practice guidelines

机译：Assessing decision-making capacity: A primer for the development of hospital practice guidelines

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Decision making capacity (DMC) is a fundamental concept grounding the principle of respect for autonomy and the practice of obtaining informed consent. DMC must be determined and documented every time a patient undergoes a hospital procedure and for routine care when there is reason to believe decision making ability is compromised. In this paper we explore a path toward ethically informed development and implementation of a hospital policy related to DMC assessment. We begin with a review of the context of DMC assessment before discussing some considerations relevant to policy creation by healthcare ethics committees. The discussion concludes in a presentation of a typology of capacity assessment policies, which draws upon a sampling of currently used hospital policies to illustrate relevant ethical considerations.

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《HEC forum: an interdisciplinary journal on hospitals’ ethical and legal issues》 |2014年第2期|159-168|共10页
作者
SiegelA.M.; BarnwellA.S.; SistiD.A.;
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作者单位

Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market;

School of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA, United States;

Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of;

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正文语种英语
中图分类预防医学、卫生学;
关键词
Bioethics; Capacity; Clinical bioethics; Competence; Ethics committees; Informed consent; Psychiatry;

Assessing decision-making capacity: A primer for the development of hospital practice guidelines

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