The Default Position: Optimizing Pediatric Participation in Medical Decision Making
| Autor: | Sara F. Goldkind, Aleksandra E. Olszewski |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Inclusion (disability rights)
media_common.quotation_subject Clinical Decision-Making Decision Making Child Welfare 0603 philosophy ethics and religion 03 medical and health sciences 0302 clinical medicine Humans 030212 general & internal medicine Precision Medicine Child media_common Physician-Patient Relations Medical education Informed Consent Health Policy Patient Preference 06 humanities and the arts Medical decision making Issues ethics and legal aspects Position (finance) 060301 applied ethics Patient Participation Psychology Autonomy |
| Zdroj: | The American Journal of Bioethics. 18:4-9 |
| ISSN: | 1536-0075 1526-5161 |
| DOI: | 10.1080/15265161.2017.1418921 |
| Popis: | Inclusion of children in medical decision making, to the extent of their ability and interest in doing so, should be the default position, ensuring that children are routinely given a voice. However, optimizing the involvement of children in their health care decisions remains challenging for clinicians. Missing from the literature is a stepwise approach to assessing when and how a child should be included in medical decision making. We propose a systematic approach for doing so, and we apply this approach in a discussion of two challenging clinical cases. The approach is informed by a literature review, and is anchored by case studies of teenagers' refusal of clinical care, regulatory requirements for research assent, and the accepted approach to involving cognitively impaired adults in medical decisions. |
| Databáze: | OpenAIRE |
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