Ethical Issues in Inpatient Rehabilitation Length of Stay Determination
Ethical Issues in Inpatient Rehabilitation Length of Stay Determination
复制标题
住院康复住院时间确定中的道德问题
DOI：
10.1310/tsr1901-86
复制
发表时间：
2012
影响因子：
2.2
通讯作者：
J. Stein
中科院分区：
文献类型：
--
作者：
J. Stein
摘要财务考虑和病人护理的交集充满了利益冲突，而且经常伴随着道德困境。住院康复是医疗保健提供系统的一个独特组成部分，并呈现出一系列独特的伦理困境，包括患者自主和决策的问题。本文着重研究康复住院患者的资源分配和住院时间的确定这一特殊问题。不确定的终点带来的挑战，如康复护理的目标和从重大致残性疾病中恢复的心理方面，是保健提供者在康复环境中试图平衡患者和机构目标时面临的问题之一。
Abstract The intersection of financial considerations and patient care is fraught with conflicts of interest and, frequently, with accompanying ethical dilemmas. Inpatient rehabilitation is a unique component of the health care delivery system and presents a distinctive set of ethical dilemmas, including issues of patient autonomy and decision making. This article focuses on the particular issue of resource allocation and the determination of inpatient rehabilitation hospital length of stay. The challenges posed by uncertain endpoints as goals of rehabilitative care and the psychological aspects of recovery from major disabling illness are among the issues confronted by health care providers in the rehabilitation setting when they try to balance patient and institutional goals.