Klinische Perspektiven Konferenz
摘要
A clinical perspectives conference (CPC) is an ethically reflected, hospital-based concept aimed at preventing overtreatment similar to advance care planning (ACP), which is internationally established in law and outpatient treatment. Both approaches are designed to avoid situations in which patients are treated against their actual or presumed wishes at the end of life or in acute crises. The dynamic adaptation of advance care dialogues to the course of illness is essential as well as a professional interface management, which ensures timely access to relevant information for all involved healthcare providers. In clinical practice, however, medical interventions are often guided solely by technical feasibility in the absence of awareness of realistic therapeutic goals, thereby prolonging suffering and postponing dying. Such actions are neither ethically justified nor legally permissible. The multiprofessional development of a joint indication fosters more sustainable decision-making while at the same time ensuring responsible allocation of resources.