Pediatrician as Advocate and Protector: An Approach to Medical Neglect for Children with Medical Complexity.

Autor:	Seltzer RR; Department of Pediatrics, Johns Hopkins School of Medicine; Johns Hopkins Berman Institute of Bioethics; Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health. Electronic address: Rseltze2@jhmi.edu., Thompson BS; Department of Pediatrics, Johns Hopkins Hospital.
Jazyk:	angličtina
Zdroj:	Pediatric clinics of North America [Pediatr Clin North Am] 2024 Feb; Vol. 71 (1), pp. 59-70. Date of Electronic Publication: 2023 Sep 19.
DOI:	10.1016/j.pcl.2023.08.006
Abstrakt:	For children with medical complexity (CMC), gaps in medical care can result in significant harm. When concerns for medical neglect arise for CMC, pediatricians may experience ethical challenges in attempting to simultaneously avoid harm, promote well-being, respect family goals and values, and maintain a positive therapeutic relationship. This article proposes an ethics-guided approach to identifying and addressing underlying modifiable risk factors for medical neglect through collaboration with family caregivers and other stakeholders (eg, medical providers, school staff, and community resources). Pediatricians should recognize their critical role, beyond only as a mandated reporter, to be a mandated supporter. Competing Interests: Disclosures The authors have no conflicts of interest to disclose. (Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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