国内生前预嘱的发展现状与社会认知
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(北京生前预嘱推广协会,北京 100123)

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R197

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Status quo and social cognition of living will in China
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(Beijing Living Will Promotion Association, Beijing 100123, China)

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    摘要:

    目前,世界上所有提供安宁缓和医疗服务的国家和地区都将生前预嘱(living will)、预立照护计划(advance care plan)以及功能相似的一系列文件作为开展这项服务的合法性前提。在我国,现阶段推广生前预嘱没有法律障碍,因其具有明确坚实的合法性基础,反映本人真实意愿的生前预嘱具有完全的法律效力。没有患者的知情同意,不尊重患者的本人意愿和医疗偏好,安宁缓和医疗无法具备起码的正当性与合法性。生前预嘱推广工作未来的发展方向是要让它与临床实践之间的衔接更加紧密,让表达了真实愿望的个人在临终时能够真正实现自己的愿望。将患者个人意愿适时转变成医患共同决策的预立照护计划是一个非常有效的办法。

    Abstract:

    Living will, advance care plan, or other documents with similar functions are now considered legal precondition for providing palliative care in all countries and regions in the world where such service is available. In China, there are no legal obstacles to the promotion of living will at present with a definitive and solid legal basis as it reflects a person′s true wishes and is fully valid. Without the patients′ informed consent or respect for their own wishes and preferences for medical treatment, palliative care cannot satisfy the fundamental legitimacy and legality. The popularization of living will depends on close connection with clinical practice, so the individuals who express their true wishes can truly realize their wishes at the end of their lives. Timely transformation of patients′ personal wishes into joint decisions of doctors and patients, namely advance care plan, is a very effective way to popularize living will.

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王博,罗峪平.国内生前预嘱的发展现状与社会认知[J].中华老年多器官疾病杂志,2022,21(11):801~803

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  • 收稿日期:2022-10-15
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  • 在线发布日期: 2022-12-01
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