Structure, Operation, and Experience of Clinical Ethics Consultation 2007-2013: A Report from the Massachusetts General Hospital Optimum Care Committee.
| Autor: | Robinson EM; Massachusetts General Hospital, Institute for Patient Care-Founders 341, Boston, Massachusetts 02114 USA. Erobinson1@partners.org., Cage W; Brandeis University, Waltham, Massachusetts USA., Erler K; Massachusetts General Hospital, Boston, Massachusetts USA., Brackett S; Massachusetts General Hospital, 55 Fruit St., Boston, Massachusetts 02114 USA. sbrackett@partners.org., Bandini J; Brandeis University, Waltham, Massachusetts USA., Cist A; Massachusetts General Hospital, BUL-148, Boston, Massachusetts 02114 USA., Cremens MC; Massachusetts General Hospital, 15 Parkman St., Boston, Massachusetts 02115 USA., Krakauer EL; Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts USA., Courtwright A; Brigham and Women's Hospital, Center for Chest Disease, 15 Francis St., Boston, Massachusetts 02115 USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of clinical ethics [J Clin Ethics] 2017 Summer; Vol. 28 (2), pp. 137-152. |
| Abstrakt: | We describe the structure, operation, and experience of the Massachusetts General Hospital ethics committee, formally called the Edwin H. Cassem Optimum Care Committee, from January 2007 through December 2013. Founded in 1974 as one of the nation's first hospital ethics committees, this committee has primarily focused on the optimum use of life-sustaining treatments. We outline specific sociodemographic and clinical characteristics of consult patients during this period, demographic differences between the adult inpatient population and patients for whom the ethics committee was consulted, and salient features of the consults themselves. We include three case studies that illustrate important consult themes during this period. Our findings expand knowledge about the structure and workings of hospital ethics committees and illustrate how one ethics committee has developed and utilized policies on end-of-life care. More generally, we model a sociological approach to the study of clinical ethics consultation that could be utilized to contextualize institutional practices over time. (Copyright 2017 The Journal of Clinical Ethics. All rights reserved.) |
| Databáze: | MEDLINE |
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