Mesh : Child Humans Consensus Decision Making Parents Dissent and Disputes Morals

来  源:   DOI:10.1542/peds.2023-061832

Abstract:
Despite apparent disagreement in the scholarly literature on standards of pediatric decision making, a recognition that similar norms underpin many of the dominant frameworks motivated a June 2022 symposium \"Best Interests and Beyond: Standards of Decision Making in Pediatrics\" in St Louis, MO. Over the course of this 3-day symposium, 17 expert scholars (see author list) deliberated on the question \"In the context of US pediatric care, what moral precepts ought to guide parents and clinicians in medical decision making for children?\" The symposium and subsequent discussion generated 6 consensus recommendations for pediatric decision making, constructed with the primary goals of accessibility, teachability, and feasibility for practicing clinicians, parents, and legal guardians. In this article, we summarize these recommendations, including their justification, limitations, and remaining concerns.
摘要:
尽管在儿科决策标准的学术文献中存在明显的分歧,认识到类似的规范支撑着许多主导框架,这激发了2022年6月在圣路易斯举行的研讨会“最佳利益及其他:儿科决策标准”,MO.在这个为期3天的研讨会上,17位专家学者(见作者名单)就“在美国儿科护理的背景下,什么道德戒律应该指导父母和临床医生为儿童做出医疗决策?“研讨会和随后的讨论为儿科决策提出了6个共识建议,以可访问性的主要目标构建,可教性,以及执业临床医生的可行性,父母,和法定监护人。在这篇文章中,我们总结这些建议,包括他们的理由,局限性,还有一些担忧。
公众号