A Service Or a Right: Informed Consent for HIV-Positive Latin American Men in Japan.
A Service Or a Right: Informed Consent for HIV-Positive Latin American Men in Japan.
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DOI：
10.1080/13648470701381507
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发表时间：
2007-08-01
影响因子：
1.8
通讯作者：
Tarui, Masayoshi
中科院分区：
文献类型：
--
作者：
Castro-Vazquez, Genaro;Tarui, Masayoshi
自1996年4月以来，实行知情同意的日本保健提供者得到了财政奖励。虽然没有这种经济收益的先例，但也没有详细的研究。本文以一组拉丁美洲男性艾滋病毒/艾滋病感染者为重点，阐明了日本医疗机构知情同意的实际做法。对20名艾滋病毒呈阳性的男子进行了访谈，以调查他们是如何获得治疗的，以及他们是如何被告知自己的身体状况的。2002年4月至9月以及2003年8月和2004年8月期间，对每名28-37岁的男性进行了一组六次访谈。参与者是通过一家医院和一个非政府组织，并通过滚雪球抽样获得的。访谈表明，大多数举报人得到了关于医疗的信息，但他们既没有得到关于替代治疗的建议，也没有得到关于寻求第三方咨询的可行性的建议。知情同意和知情人与医生之间的沟通受到语言和结构以及文化障碍的阻碍。总之，本文增加了一个新的层面，了解知情同意的作者认为，作为一个教育过程的医疗保健提供者和患者的做法。
Since April 1996, Japanese health care providers who practise informed consent have been financially rewarded. Although there is no precedent for this financial gain, there are no detailed studies. Focused on a group of Latin American men living with HIV/AIDS, this paper clarifies the actual practices of informed consent at Japanese medical facilities. Twenty HIV-positive men were interviewed in order to investigate how they obtained medical treatment and how they were informed about their physical condition. From April to September 2002 and during August 2003 and 2004, a set of six interviews were conducted with each male, who were 28-37 years old. Participants were acquired through a hospital and a non-governmental organization, and by snowball sampling. The interviews showed that most of the informants received information concerning medical treatment, but they were advised neither about alternative treatments nor about the feasibility of seeking a third party's advice. Informed consent and communication between the informants and physicians were obstructed by language and structural, as well as cultural barriers. In conclusion, this paper adds a new dimension to the understanding of informed consent as the authors regard the practice as an educational process for health care providers and patients.