'Crowded' paediatrics
'Crowded' paediatrics
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“拥挤”的儿科
DOI：
10.1136/archdischild-2023-326614
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发表时间：
2024
影响因子：
5.2
通讯作者：
Bertaud S
中科院分区：
文献类型：
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作者：
Bertaud S
这是一种简化，但传统的医患关系伦理模式始于诊所门口，也止于诊所门口。当父母进入后，儿科医生关上门，他们在一个保密的私人空间里进行交流。儿科医生提供专家评估和建议，而父母则参与决策。但正如Delany等人在他们及时的论文中指出的那样，在我们的数字世界中，当代咨询的墙壁似乎薄得危险。一群“声音”可能会挤进迄今为止的私人空间，提供新的意见和选择，有时会使卫生专业人员和父母之间的严重分歧更有可能或更难以管理。或者，家庭可能会选择超越儿科医生的办公室分享他们的孩子的故事（可能包括他们的经验和意见的卫生专业人员）与在线crowds.Delany等人提供了一个有价值的框架和有益的问题，通过思考的伦理问题所产生的影响，“人群”在儿科。在这篇社论中，我们强调明确承认和参与在线咨询的重要性。
It is a simplification, but the traditional ethical model of the doctor–patient relationship begins and ends at the door of the clinic. After parents enter, and the paediatrician closes the door, they engage together in a confidential, private space. The paediatrician offers expert assessment and advice while parents share in decision-making. But as Delany et al point out in their timely paper, 1 in our digital world, the walls of the contemporary consultation seem dangerously thin. A ‘crowd of voices’ potentially push into that hitherto private space offering novel opinions and options and sometimes making serious disagreements between health professionals and parents more likely or more difficult to manage. Or else families may choose to reach beyond the paediatrician’s office by sharing their child’s story (including potentially their experiences and views of the health professionals) with an online crowd.Delany et al provide a valuable framework and helpful questions for thinking through the ethical questions arising from the influence of the ‘crowd’in paediatrics. In this editorial, we emphasise the importance of explicitly acknowledging and engaging with the online extension of the consultation.