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. 2022 Dec:251:30-35.
doi: 10.1016/j.jpeds.2022.06.002. Epub 2022 Jul 3.

Reasonableness as a Relational Principle: An Integrated Framework for Pediatric Decision-Making

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Reasonableness as a Relational Principle: An Integrated Framework for Pediatric Decision-Making

D Micah Hester et al. J Pediatr. 2022 Dec.

Abstract

We modified and applied the surrogate decision-making framework of Buchanan and Brock for pediatrics, and present an integrated framework of pediatric health care decision-making, specifying authority and intervention principles, 2 guidance principles, and an additional category of relational principles, governing stakeholder interactions.

Keywords: best interest standard; harm principle; parental authority; pediatric decision-making; reasonableness.

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