重症医学的建设发展战略及伦理问题.pdf

论文提纲 摘要：重症医学在我国起步较晚，学科建设及发展较其它发达国 家差距较大。本文对现阶段重症医学的建设，医务工作者面临的疲溃 感，及重症患者医学伦理的问题进行综述。随着重症患者的救治率在 不断提高，接踵而来的重症患者医学伦理问题在不断增多。本文创新 之处在于将重症患者将面临的伦理问题及解决方法进行综述。通过对 学科建设的总结，以寻找更加有效的管理方法，达到加快学科建设促 进学科发展的目的。 关键词 ：重症医学；管理；伦理； 结构 1．建设与管理重症医学 2．减轻 ICU 医务人员的疲溃感 3．让 重症患者治疗无效后有尊严的去世 创新点：结合我国国情分析重症医学建设及伦理面临问题 结论：在重症医学已成 一门新型的临床医学学科，精进不休日 渐腾飞。目前还有许多学科建设问题、伦理问题、财政政策问题需要 解决。 参 考 文 献 ：[1]Pronovost PJ,Angus DC,Dorman T.et al.Physician staffing patterns and clinical out comes in critically ill patients:a systematic review.JAMA,2002,288:2151-2162 [2]Parikh A Huang SA,Murthy P,et al.Quality improvement and cost savings after implementationg of the Leapfrog intensive care unit physician staffing standard at a community teaching hospitao.Crit Care Med,Oct 2012,40:2754-2759. [3]Dyrbye LN,Shanafelt TD.Physician Burnout.JAMA;The Journal of the American Medical Association,2009,302:1338-1340. [4]Heponiemi T,Kuusio H,Sinervo T,et al.Job attitudes and well-being among pulic vs.private physicians:organizational justice and job control as mediators.The European Journal of Public Health,2011,21:520-525. [5]Sundin L,Hochwalder J Bildt C.et al.The relationship between different work-related sources of social support and burnout among registered and assistant nurses in Sweden :a questionnaire survey.International Journal of Nursing Studies,2007,44:758. [6]Deborah Cook,Graeme Rocker.Dying with Dignity in the Intensive Care Unit.N Engl J Med,2014,370:2506-2514. [7]Visser M,Deliens L,Houttekier D.Physician-related barriers to communication and patient-and family-centred decision-making towards the end of life in intensive care:a systema