Ethical Framework for Risk Stratification and Mitigation Programs for Children With Medical Complexity

Ethical Framework for Risk Stratification and Mitigation Programs for Children With Medical Complexity
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DOI:
10.1542/peds.2017-1284j
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发表时间:
2018-03-01
期刊:
影响因子:
8
通讯作者:
Berry, Jay
Berry, Jay
中科院分区:
医学2区
文献类型:
--
作者:
Feudtner, Chris;Schall, Theodore;Berry, Jay

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那些在医院和卫生保健系统工作的人,在为患有复杂疾病的儿童设计临床项目时,经常谈到需要开发和实施一套风险分层系统。在本文中,我们使用医疗保健计划的伦理评估框架,通过确定需要特别注意的具体和详细问题,并提出一系列建议,以帮助确保针对医疗复杂性儿童的计划避免潜在的伦理问题情况和做法,来检查风险分层的任务可能需要什么。
Those in hospitals and health care systems, when designing clinical programs for children with medical complexity, often talk about needing to develop and implement a system of risk stratification. In this article, we use the framework of an ethical evaluation of a health care program to examine what this task of risk stratification might entail by identifying specific and detailed issues that require particular attention and making a series of recommendations to help ensure that programs for children with medical complexity avoid potentially ethically problematic situations and practices.