Legal and ethical considerations: Risks and benefits of postpartum depression screening at well-child visits
Legal and ethical considerations: Risks and benefits of postpartum depression screening at well-child visits
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DOI：
10.1542/peds.2006-2122
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发表时间：
2007-01-01
期刊：
影响因子：
8
通讯作者：
McInerny, Thomas K.
中科院分区：
文献类型：
--
作者：
Chaudron, Linda H.;Szilagyi, Peter G.;McInerny, Thomas K.
儿科专业人员被要求在儿童健康就诊期间提供越来越多的服务，包括筛查可能直接或间接影响儿科患者的心理社会和家庭问题。其中一项服务是在儿科就诊时对产后抑郁症进行常规筛查。产后抑郁症是一种可能对孩子产生严重负面影响的父母病症的一个例子。由于这是一种孕产妇病症，因此引发了一系列关于儿科护理的界限以及儿科提供者的责任和义务的道德和法律问题。在本文中，我们讨论了儿科就诊时筛查或不筛查产后抑郁症的伦理和法律考虑因素，并概述了筛查或不筛查的风险。我们为儿科提供者教育以及国家专业组织在指导界定儿科护理界限的过程中的作用提出建议。
Pediatric professionals are being asked to provide an increasing array of services during well-child visits, including screening for psychosocial and family issues that may directly or indirectly affect their pediatric patients. One such service is routine screening for postpartum depression at pediatric visits. Postpartum depression is an example of a parental condition that can have serious negative effects for the child. Because it is a maternal condition, it raises a host of ethical and legal questions about the boundaries of pediatric care and the pediatric provider's responsibility and liability. In this article we discuss the ethical and legal considerations of, and outline the risks of screening or not screening for, postpartum depression at pediatric visits. We make recommendations for pediatric provider education and for the roles of national professional organizations in guiding the process of defining the boundaries of pediatric care.