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題名:無效醫療議題之探討
書刊名:護理雜誌
作者:徐明儀 引用關係江蓮瑩
作者(外文):Hsu, Ming-yiChiang, Lien-ying
出版日期:2014
卷期:61:1
頁次:頁99-104
主題關鍵詞:無效醫療無益醫療生命倫理Medical futilityNon-beneficial treatmentBiomedical ethics
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(5) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:11
  • 點閱點閱:177
儘管科技的進步使重症患者得以延長壽命,但醫療終究有其極限,某些情況下任憑再努力都是徒勞無功的情況時有所見,它使患者承受治療的代價遠大於其助益,因此識別出什麼是無效的醫療,並提供對患者有助益的照護計畫十分重要。我國政策上擬將建立重症病患末期無效醫療的評估及照護標準,但事實上無效醫療的界定十分不易。因此,無效醫療是所有醫療照護者應須了解的重要議題,本文即先闡述無效醫療的生命倫理觀點,並說明無效醫療的定義及其爭議與相關研究,期能增進醫護人員對無效醫療議題的瞭解與重視。
Although able to extend the life of some critical patients, advanced medical technology is limited in terms of scope and extent of effectiveness. Some patients die despite the best efforts of medical teams. Medical futility describes treatments that are both extremely unlikely to benefit a patient and costly to provide. Clearly defining futile treatments and considering this concept in patient care strategies is important to provide quality patient care. Taiwan is currently formulating a policy on medical futility. While accepting that the term "futile" is used in many different ways and that this term is difficult to define in clinical practice, this article discusses the various ethical views on medical futility and its definition, the debate among these different views, and related research. We hope this article may help medical care staff better understand the importance of medical futility.
期刊論文
1.林芳如、黃勝堅、吳春桂、黃美玲、林亞陵、蘇玲華、蔡紋苓、林宏茂(20101200)。重症生命末期無效醫療之探討。中華民國急救加護醫學會雜誌,21(附冊),S1-S8。  延伸查詢new window
2.Bernat, J. L.(2005)。Medical futility: Definition, determination, and disputes in critical care。Neurocritica l Care,2(2),198-205。  new window
3.American Medical Association Council on Ethical and Judician Affairs(1999)。Medical futility in end-of-life care: Report of the council on ethical and judicial affairs。JAMA: The Journal of the American Medical Association,281(10),937-941。  new window
4.Bagheri, A.、Asai, A.、Ida, R.(2006)。Experts’ attitudes towards medical futility: An empirical survey from Japan。BioMed Central Medical Ethics,7(8),1-7。  new window
5.Heland, M.(2006)。Fruitful or futile intensive care nurses'experiences and perceptions of medical futility。Australian Critical Care,19(1),25-31。  new window
6.Brody, B. A.、Halevy, A.(1995)。Is futility a futile concept?。The Journal of Medicine and Philosophy,20(2),123-144。  new window
7.Frick, S.、Uehlinger, D. E.、Zuercher Zenklusen, R. M.(2003)。Medical futility : Predicting outcome of intensive care unit patients by nurses and doctors--A prospective comparative study。Critical Care Medicine,31(2),456-461。  new window
8.Day, L.(2009)。Medical futility, personal goods, and social responsibility。American Journal of Critical Care,18(3),279-282。  new window
9.Fine, R. L.(2009)。The Texas Advance Directives Act effectively and ethically resolves disputes about medical futility。Chest,136(4),963-967。  new window
10.Jox, R. J.、Schaider, A.、Marckmann, G.、Borasio, G. D.(2012)。Medical futility at the end of life: The perspectives of intensive care and palliative care clinicians。Journal of Medical Ethics,38(9),540-545。  new window
11.Oeyen, S. G.、Vandijck, D. M.、Benoit, D. D.、Annemans, L.、Decruyenaere, J. M.(2010)。Quality of life after intensive care: A systematic review of the literature。Critical Care Medicine,38(12),2386-2400。  new window
12.Moratti, S.(2010)。Non-treatment decisions on grounds of "medical futility" and "quality of life": Interviews with fourteen Dutch neonatologists。Issues In Law & Medicine,26(1),3-11。  new window
13.Moratti, S.(2009)。The development of“ medical futility ”: Towards a procedural approach based on the role of the med medical profession。Journal of Medical Ethics,35(6),369-372。  new window
14.Thompson, R. J.(2011)。Medical futility: A commonly used and potentially abused idea in medical ethics。British Journal of Hospital Medicine,72(2),96-99。  new window
15.Palda, V. A.、Bowman, K. W.、McLean, R. F.、Chapman, M. G.(2005)。“ Futile” care: Do we provide it? Why? A semistructured, Canada-wide survey of intensive care unit doctors and nurses。Journal of Critical Care,20(3),207-213。  new window
16.Stricker, K. H.、Sailer, S.、Uehlinger, D. E.、Rothen, H. U. M.、Frick, S.(2011)。Quality of life 9 years after an intensive care unit stay: A long-term outcome study。Journal of Critical Care,26(4),379-387。  new window
17.Schneiderman, Lawrence J.、Jecker, Nancy S.、Jonsen, Albert R.(1990)。Medical futility: Its meaning and ethical implications。Annals of Internal Medicine,112(12),949-954。  new window
18.Sibbald, R.、Downar, J.、Hawryluck, L.(2007)。Perceptions of "futile care" among caregivers in intensive care units。Canadian Medical Association Journal,177(10),1201-1208。  new window
19.Zier, L. S.、Burack, J. H.、Micco, G.、Chipman, A. K.、Frank, J. A.、White, D. B.(2009)。Surrogate decision makers' responses to physicians' predictions of medical futility。Chest,136(1),110-117。  new window
20.陳祖裕(20030100)。無效醫療。應用倫理研究通訊,25,54-63。new window  延伸查詢new window
學位論文
1.黃麗續(2009)。從DNR分析看無效醫療的界線與醫學的極限(碩士論文)。南華大學,嘉義。  延伸查詢new window
圖書
1.Beauchamp, T. L.、Childress, J. F.(2001)。Principles of biomedicallethics。New York, NY:Oxford University Press。  new window
2.Lo, Bernard(2009)。Resolving ethical dilemmas: A guide for clinicians。Lippincott Williams & Wilkins。  new window
3.黃煌雄、劉興善、沈美真(2011)。我國全民健康保險總體檢調查報告。中華民國醫師公會全國聯合會。  延伸查詢new window
4.Singer, Peter A.、蔡甫昌(2009)。臨床生命倫理學。臺北:財團法人醫院評鑑暨醫療品質策進會。  延伸查詢new window
其他
1.國立臺灣大學公共衛生學院健康促進研究中心(20120306)。第三波健保改革研討會,http://hpe.org.tw/nhi.htm。  延伸查詢new window
 
 
 
 
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