临床决策的边界  

Boundary of Clinical Decision-making

作　　者：吕健[1] LYU Jian(Department of Neurosurgery, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an 710004, China)

机构地区：[1]西安交通大学第二附属医院神经外科,陕西西安710004

出　　处：《医学与哲学》2020年第10期16-20,共5页Medicine and Philosophy

摘　　要：探讨临床决策之边界,以期为临床医生合理决策提供参考。临床决策是日常医疗工作的核心内容,医生是临床决策的制定者和施行者。决策过程中,医生需综合考量多种因素,如病人的临床状况和真正需要解决的临床问题、法律法规、伦理和社会因素、诊疗规范和指南、经验总结、个案和基础研究、团队的技术能力、专业标准和临床预期等,这些因素组成了临床决策的基本边界,同时,这个边界会随着医学、文化、经济、社会的发展而变化。This paper aims to discuss the boundary of clinical decision-making as a reference to clinician's rational thinking.Clinical decision-making is the core of daily clinical work.Clinicians are the designers and implementers of clinical decision-making.In the process of decision-making,clinicians have to consider a variety of factors,such as patients'real clinical condition,laws,ethics,social factors,rules of diagnosis and treatment,experience,case reports,basic research,technology,professional standard and clinical outcomes,etc.,which constitute the basic boundary of clinical decision-making.This boundary will change with the development of medicine,culture,economy and society.

关 键 词：临床决策 医疗 法律 伦理 指南 

分 类 号：R-02[医药卫生]