Family Caregivers, Patients and Physicians: Ethical Guidance to Optimize Relationships
Family Caregivers, Patients and Physicians: Ethical Guidance to Optimize Relationships
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DOI：
10.1007/s11606-009-1206-3
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发表时间：
2010-03-01
影响因子：
5.7
通讯作者：
Hood, Virginia L.
中科院分区：
文献类型：
--
作者：
Mitnick, Sheryl;Leffler, Cathy;Hood, Virginia L.
家庭护理人员在最大限度地提高超过 3000 万急性和慢性疾病患者的健康和生活质量方面发挥着重要作用。患者依靠家庭护理人员协助进行日常活动、管理复杂的护理、了解医疗保健系统以及与医疗保健专业人员沟通。身体、情感和经济压力可能会增加护理人员受伤和患病的可能性。地理位置相距较远的家庭护理人员和担任家庭护理人员角色的卫生专业人员可能会承受额外的负担。医生对护理人员角色价值的认识可能有助于提供积极的护理体验并降低患者住院和住院的比率。然而，医生在与患者和家庭护理人员合作同时保持医患关系的首要地位时可能面临道德挑战。美国医师学会与其他十个专业协会一起为医生提供道德指导，以发展相互支持的患者医护关系。
Family caregivers play a major role in maximizing the health and quality of life of more than 30 million individuals with acute and chronic illness. Patients depend on family caregivers for assistance with daily activities, managing complex care, navigating the health care system, and communicating with health care professionals. Physical, emotional and financial stress may increase caregiver vulnerability to injury and illness. Geographically distant family caregivers and health professionals in the role of family caregivers may suffer additional burdens. Physician recognition of the value of the caregiver role may contribute to a positive caregiving experience and decrease rates of patient hospitalization and institutionalization. However, physicians may face ethical challenges in partnering with patients and family caregivers while preserving the primacy of the patient-physician relationship. The American College of Physicians in conjunction with ten other professional societies offers ethical guidance to physicians in developing mutually supportive patient physician-caregiver relationships.