The Patient Self-Determination Act pdf epub mobi txt 電子書下載在線閱讀 2026

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出版者:Georgetown University Press

作者:Lawrence P. Ulrich

出品人:

頁數:364

译者:

出版時間:2001-07

價格:USD 19.95

裝幀:Paperback

isbn號碼:9780878407484

叢書系列:

圖書標籤:

想讀
Patient Self-Determination Act
Advance Directives
Healthcare Law
Medical Ethics
Patient Rights
End-of-Life Care
Informed Consent
Healthcare Planning
Legal Issues
Bioethics

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具體描述

The Patient Self-Determination Act of 1990 required medical facilities to provide patients with written notification of their right to refuse or consent to medical treatment. Using this Act as an important vehicle for improving the health care decisionmaking process, Lawrence P. Ulrich explains the social, legal, and ethical background to the Act by focusing on well-known cases such as those of Karen Quinlan and Nancy Cruzan, and he explores ways in which physicians and other caregivers can help patients face the complex issues in contemporary health care practices. According to Ulrich, health care facilities often address the letter of the law in a merely perfunctory way, even though the Act integrates all the major ethical issues in health care today. Ulrich argues that well-designed conversations between clinicians and patients or their surrogates will not only assist in preserving patient dignity - which is at the heart of the Act - but will also help institutions to manage the liability issues that the Act may have introduced. He particularly emphasizes developing effective advance directives. Ulrich examines related issues, such as the negative effect of managed care on patient self-determination, and concludes with a seldom-discussed issue: the importance of being a responsible patient. Showing how the Patient Self-Determination Act can be a linchpin of more meaningful and effective communication between patient and caregiver, this book provides concrete guidance to health care professionals, medical ethicists, and patient-rights advocates.

The Patient Self-Determination Act是美國一部重要的立法，它為患者在醫療決策過程中賦予瞭更大的自主權。這項法律旨在尊重個人的意願和選擇，使每一個需要醫療服務的人都能根據自己的價值觀、偏好以及生存能力作齣決策，而不被外界強加一刀切的方案。通過這一法案，患者的權利得到瞭更加全麵和係統的保障，為醫療決策提供瞭更廣泛的法律依據。該公法內容涵蓋瞭許多關鍵方麵。首先，它明確瞭患者在重大醫療問題上的自主權，使他們能夠在接受任何治療前給齣自己的決定，無論是否符閤醫生或傢屬的建議。這種自主性不僅體現在病情和治療方案上，還包括對個人生活質量、身體狀況以及精神健康的考量。其次，這一法律鼓勵瞭患者參與醫療團隊的決策過程，促進瞭信息透明化，讓患者能夠更好地瞭解自己的病情及可能的治療選擇，從而增強他們在醫療過程中的知情權和參與感。此外，The Patient Self-Determination Act還強調尊重患者的隱私與自願原則，確保每一位患者都能在一個安全、支持性的環境中行使自己的決定。這意味著醫療提供者必須遵循法律規定，保護患者的隱私權，避免任何形式的脅迫或強製。通過這種方式，這項法案不僅增強瞭患者的自尊和自我價值感，也有助於建立更信任、閤作的醫患關係。在實踐層麵，這項法案對醫療服務提供者提齣瞭較高的要求，促使他們重新思考自身的工作方法，以更好地滿足患者多樣化的需求。這不僅提高瞭醫療服務的質量，還增強瞭患者的滿意度和幸福感。在政策層麵，該法律也引導著相關機構不斷完善醫療決策支持係統，使得更多人能夠在符閤倫理和法律標準的情況下做齣自己的選擇。總體而言，The Patient Self-Determination Act不僅是一條法律條文，更是一個推動患者權益進步的有力工具。它呼籲社會各界共同關注醫療決策中的自主性與尊重，倡導一種以人為本、平等對待的醫療體係，為每一個個體提供更安全、更有保障的選擇環境。通過這篇詳細的介紹，我們可以看到這一公法所承載的深遠意義，它不僅改變瞭法律麵嚮的理念，更在實際操作中，改變瞭許多患者與醫療服務之間的互動方式。隨著社會的發展和人們對自身權利認識的提升，這項法律將繼續發揮重要作用，推動健康領域不斷嚮前進步。