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題名:臺灣老人醫療自主權的省思
書刊名:護理雜誌
作者:陳凱莉陳清惠 引用關係
作者(外文):Chen, Kai-liChen, Ching-huey
出版日期:2014
卷期:61:5
頁次:頁26-32
主題關鍵詞:老人醫療自主醫療決定ElderlyMedical decisionAutonomy
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(0) 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:338
  • 點閱點閱:103
臺灣老年人口增長迅速,伴隨平均餘命的延長,老年人已成為醫療體系主要的消費族群。尊重自主為醫學倫理的重要核心價值,然而其意涵,卻會受到家庭、社會與醫療文化的影響;而針對高齡病人,因老化所帶來身、心、社會各方面能力之衰退,如何在我國特殊文化背景下,維護高齡者的醫療自主權,實值得深思。本文將彙整相關議題之文獻論述,由老人的弱勢情境、華人文化及現行醫療決策情境等面向,闡述高齡者面對醫療決定之處境,進而對如何實踐高齡病人醫療自主之照護理想提出建言。
The elderly population is increasing rapidly in Taiwan. With the average life expectancy on the rise, the elderly have become major consumers of healthcare products and services. Factors that influence respect for autonomy, a core value of medical ethics, may be related to family, society, and the medical culture. Especially in patients who are already elderly, aging causes declines in physical, mental and societal capacities. Practicing a respect for patient autonomy is particularly challenging for healthcare professionals in Taiwan due the unique culture background of elderly Taiwanese patients. This article reviews and integrates the literature related to the issue of patient autonomy and elaborates on medical decision-making among elderly patients in Taiwan in the contexts of: the disadvantages faced by the elderly, the background of Chinese culture, and the current medical decision-making environment. A few suggestions are proposed to help preserve the medical-decision-making autonomy of elderly patients in Taiwan.
期刊論文
1.楊靜利、董宜禎(20070600)。臺灣的家戶組成變遷:1990-2050。臺灣社會學刊,38,135-173。new window  延伸查詢new window
2.Chang, S. J.、Lee, K. J.、Kim, I. S.、Lee, W. H.(2008)。Older Korean people’s desire to participate in health care decision making。Nurse Ethics,15(1),73-86。  new window
3.Deber, R. B.、Kraetschmer, N.、Urowitz, S.、Sharpe, N.(2007)。Do people want to be autonomous patients? Preferred roles in treatment decision-making in several patient populations。Health Expectations,10(3),248-258。  new window
4.Fan, R.、Tao, J.(2004)。Consent to medical treatment: The complex interplay of patients, families, and physicians。Journal of Medicine and Philosophy,29(2),139-148。  new window
5.Goldsmith, M. R.、Bankhead, C. R.、Austoker, J.(2007)。Synthesising quantitative and qualitative research in evidence-based patient information。Journal of Epidemiology and Community Health,61(3),262-270。  new window
6.Henderson, A.、Chien, W. T.(2004)。Information needs of Hong Kong Chinese patients undergoing surgery。Journal of Clinical Nursing,13(8),960-966。  new window
7.Lin, M. L.、Huang, C. T.、Chiang, H. H.、Chen, C. H.(2013)。Exploring ethical aspects of elective surgery patients’ decision-making experiences。Nursing Ethics,20(6),672-683。  new window
8.Lin, M. L.、Kan, W. M.、Chen, C. H.(2012)。Patients'€™ perceptions and expectations of family participation in the informed consent process of elective surgery in Taiwan。Asian Nursing Research,6(2),55-59。  new window
9.Lin, M. L.、Pang, S. M.、Chen, C. H.(2013)。Family as a whole: Elective surgery patients'€™ perception of the meaning of family involvement in decision making。Journal of Clinical Nursing,22(1),271-278。  new window
10.Pang, M. C.(1999)。Protective truthfulness: The Chinese way of safeguarding patients in informed treatment decisions。Journal of Medical Ethics,25(3),247-253。  new window
11.Tsai, D. F.(1999)。Ancient Chinese medical ethics and the four principles of biomedical ethics。Journal of Medical Ethics,25(4),315-321。  new window
12.李欣慈、陳慶餘、胡文郁(20120700)。華人孝道與家庭主義文化脈絡下談長照機構住民執行預立醫療照護計畫與老人自主權。安寧療護,17(2),187-199。new window  延伸查詢new window
13.莊曉青、廖庭萱、許碧珊(20080300)。老人醫療自主權。當代醫學,35(3)=413,245-248。  延伸查詢new window
14.陳佳雯、張妤玥、高旭繁、陸洛(20131200)。老了,就不中用了?臺灣高齡者最適老化之歷程探究。本土心理學研究,40,87-140。new window  延伸查詢new window
15.蔡甫昌(20000600)。生命倫理四原則方法。醫學教育,4(2),12-26。new window  延伸查詢new window
16.劉雅文、莊秀美(20060600)。探討失能老人家庭選擇長期照護福利服務之決策過程--老人自主權之分析研究。東吳社會工作學報,14,91-123。new window  延伸查詢new window
17.葉光輝(20090600)。臺灣民眾的代間交換行為:孝道觀點的探討。本土心理學研究,31,97-141。new window  延伸查詢new window
18.Tsai, Daniel Fu-chang(2001)。How Should Doctors Approach Patients? A Confucian Reflection on Personhood。Journal of Medical Ethics,27(1),44-50。  new window
學位論文
1.胡哲碱(2013)。從告知後同意論高齡者之醫療困境與保障(碩士論文)。中原大學。  延伸查詢new window
2.林美伶(2012)。受限之選擇:選擇性手術病患決定手術經驗(博士論文)。國立成功大學。  延伸查詢new window
圖書
1.戴正德(2012)。基礎醫學倫理學。台北市:高立。  延伸查詢new window
2.Beauchamp, T. L.、Childress, J. F.(2009)。Principle of biomedical ethics。New York:Oxford University Press。  new window
3.Cicirelli, Victor G.(1992)。Family Caregiving: Autonomous and Paternalistic Decision Making。Newbury Park, California:Sage。  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
5.林麗珊(20070000)。女性主義與兩性關係。臺北:五南。new window  延伸查詢new window
其他
1.內政部統計處(2010)。98年老人狀況調查結果摘要分析,http://sowf.moi.gov.tw/stat/Survey/list.html。  延伸查詢new window
2.內政部統計處(20140127)。102年國人零歲平均餘命估測結果,http://sowf.moi.gov.tw/stat/Life/102 %E5%B9%B4%E9%A4%98%E5%91%BD%E4%BC% B0%E6%B8%AC%E7%B5%90%E6%9E%9C%E7%B5 %84%E5%90%88.pdf。  new window
3.衛生福利部統計處(20140128)。101年度全民健康保險醫療統計年報,http: //www. mohw. gov. tw/ cht/DOS/Statistic.aspx?f_list_no=312andfod_list_no=4722。  延伸查詢new window
4.國家發展委員會(2012)。中華民國2012年至2060年人口推估報告,http://www.ndc.gov.tw/m1.aspx?sNo=0000455&ex=2&ic=0000153, 2014/03/20。  延伸查詢new window
圖書論文
1.楊國樞(2008)。現代社會的新孝道。中國人的孝道:心理學的分析。台北:國立臺灣大學。  延伸查詢new window
2.Tao, J. L. P W.(2006)。A Confucian approach to a “shared family decision model” in health care: Reflections on moral pluralism。Global bioethics: The collapse of consensus。Salem, MA:M and M Scrivener Press。  new window
3.黃光國(19880000)。中國人的權力遊戲。中國人的心理。臺北:桂冠。new window  延伸查詢new window
 
 
 
 
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