'Fairness and reasonableness of the child's decision:' a proposed legal standard for children's participation in medical decision making.

'Fairness and reasonableness of the child's decision:' a proposed legal standard for children's participation in medical decision making.
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“儿童决定的公平合理:”儿童参与医疗决策的拟议法律标准。

DOI:
10.1002/bsl.461
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发表时间:
2001
期刊:
Behavioral sciences & the law.
影响因子:
--
通讯作者:
Doyon,T
Doyon,T
中科院分区:
--
文献类型:
--
作者:
Walker,NE;Doyon,T

文献摘要

被引文献

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以Nikolas E.的案例为例,一个六岁的艾滋病毒/艾滋病儿童,这篇文章认为儿童,父母和国家在涉及儿科医疗纠纷的案件中的竞争权利。本文概述了赞成和反对儿童参与医疗决策的论点,并介绍了目前用于解决儿科医疗纠纷的法律的标准。文章然后建议通过一个新的法律的标准,称为“儿童决定的公平性和合理性”,并阐明了这种做法的优点和缺点,以及在执行标准时应考虑的因素。最后,本文认为,包括儿童的愿望在儿科医疗决策的基础上,莫纳汉和步行者的模式,包括社会科学证据在法律的背景下,并评估替代策略,包括儿童有意义的过程中作出的医疗决定,影响他们的方法。版权所有© 2001约翰威利父子有限公司。
Using as illustration the case of Nikolas E., a six‐year‐old child with HIV/AIDS, this article considers the competing rights of children, parents, and state in cases involving pediatric medical disputes. The article outlines arguments in favor of and against children's participation in medical decisions and describes legal standards currently used in resolving pediatric medical disputes. The article then proposes adoption of a new legal standard described as the ‘fairness and reasonableness of the child's decision,’ and articulates advantages and disadvantages of such an approach, as well as the factors that should be considered in implementing the standard. Finally, the article argues for a methodology for including children's wishes in pediatric medical decision making that is based upon Monahan and Walker's model for including social science evidence in legal contexts and evaluates alternative strategies for including children meaningfully in the process of making medical decisions that affect them. Copyright © 2001 John Wiley & Sons, Ltd.