Treating patients as persons: a capabilities approach to support delivery of person-centered care.

Treating patients as persons: a capabilities approach to support delivery of person-centered care.
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DOI:
10.1080/15265161.2013.802060
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发表时间:
2013
期刊:
The American journal of bioethics : AJOB
影响因子:
--
通讯作者:
Watt IS
Watt IS
中科院分区:
其他
文献类型:
--
作者:
Entwistle VA;Watt IS

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国际上的卫生服务努力确保卫生保健是“以人为本”(或类似)。在某种程度上,这是因为有许多解释的“以人为本的护理”(和近的同义词),其中一些似乎不切实际的一些病人或情况下,模糊的内在价值的病人的经验,医疗保健服务。呼吁以人为本的护理背后的普遍关注是一个伦理问题:病人应该“被当作人对待”。我们提出了新的使用能力的方法来表征以人为本的照顾,承认和培养与人的概念相关的能力的见解。这种表征统一了以前表征的关键特征,可以使以人为本的护理适用于不同的患者和情况。通过将以人为本的护理与内在有价值的能力结果联系起来,它结合了对个人的响应要求,并解释了为什么以人为本的护理是独立于其对健康增益的任何贡献而需要的。
Health services internationally struggle to ensure health care is “person-centered” (or similar). In part, this is because there are many interpretations of “person-centered care” (and near synonyms), some of which seem unrealistic for some patients or situations and obscure the intrinsic value of patients’ experiences of health care delivery. The general concern behind calls for person-centered care is an ethical one: Patients should be “treated as persons.” We made novel use of insights from the capabilities approach to characterize person-centered care as care that recognizes and cultivates the capabilities associated with the concept of persons. This characterization unifies key features from previous characterisations and can render person-centered care applicable to diverse patients and situations. By tying person-centered care to intrinsically valuable capability outcomes, it incorporates a requirement for responsiveness to individuals and explains why person-centered care is required independently of any contribution it may make to health gain.
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