Publication in refereed journal
香港中文大学研究人员 ( 现职)
| Professor Charles David GOMERSALL (麻醉及深切治疗学系) |
| Professor Gavin Matthew JOYNT (麻醉及深切治疗学系) |
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Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/21Scopus source URL
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摘要Objectives. To examine the practice and ethical attitudes of intensive care doctors in Hong Kong and to compare findings with those from European studies. Design. Structured questionnaire survey, modified from a similar questionnaire used in Europe. Setting. Eleven publicly funded intensive care units in Hong Kong. Participants. Ninety-five doctors practising in intensive care units. Results. Of the sixty-five respondents, sizeable proportions indicated that the admission of patients to the intensive care unit is often (25%) or sometimes (51%) limited by bed availability. About 69% to 86% of doctors admit patients with limited prognosis or poor quality of life, although all felt that these admissions should be more restricted. 'Do-not-resuscitate' orders are applied by almost all respondents, and 52% and 89% of respondents would discuss such orders with the patient or with the family, respectively. The withholding and withdrawal of therapy from patients with no chance of recovery to a meaningful life is common in Hong Kong (99% and 89%, respectively). A total of 83% respondents involved patients or families in the decision to limit therapy, compared with less than half in Europe overall. When the family wanted aggressive life-support despite doctors' recommendations to limit therapy, 62% of the respondents would still withhold therapy while only 9% would withdraw therapy. More than 60% of doctors feel comfortable talking to patients' relatives about limitation of therapy. Approximately 75% felt that euthanasia is unacceptable. Most respondents (94%) reported that medical programmes should include more extensive discussion on ethical issues. Conclusion. The ethical attitudes of intensive care doctors in Hong Kong are similar to those of counterparts in Europe. However, Hong Kong doctors tend to involve families more often in the dscussion of end-of-life issues.
着者Yap H.Y., Joynt G.M., Gomersall C.D.
期刊名称Hong Kong Medical Journal
出版年份2004
月份8
日期1
卷号10
期次4
出版社Hong Kong Academy of Medicine Press
出版地Hong Kong
页次244 - 250
国际标準期刊号1024-2708
电子国际标準期刊号2226-8707
语言英式英语
关键词Decision making, Ethics, medical, Euthanasia, passive, Intensive care units, Withholding treatment
