Informed consent-It's more than a signature on a piece of paper

Informed consent-It's more than a signature on a piece of paper
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DOI:
10.1016/j.amjsurg.2017.09.015
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发表时间:
2017-12-01
影响因子:
3
通讯作者:
Cocanour, Christine S.
Cocanour, Christine S.
中科院分区:
医学3区
文献类型:
--
作者:
Cocanour, Christine S.

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知情同意是一个道德概念,已写入法律并在每个医疗机构的日常实践中得到体现。临床知情同意需要三个基本标准:患者必须有能力、充分知情且不受胁迫。医患互动植根于慈善的伦理概念,但在 19 世纪和 20 世纪,判例法和社会变革带来了对自主权和知情同意的尊重。本文简要回顾了知情同意的基础知识,何时需要知情同意,知情同意是如何演变为今天的样子,以及外科医生可以做什么才能真正获得知情同意。 (C) 2017 Elsevier Inc. 保留所有权利。
Informed consent is an ethical concept that is codified in the law and is in daily practice at every health care institution. Three fundamental criteria are needed for clinical informed consent: the patient must be competent, adequately informed and not coerced. Physician-patient interaction is rooted in the ethical concept of beneficence, but over the 19th and 20th centuries, case law and societal changes brought respect for autonomy and with it-informed consent. This article briefly reviews the basics of informed consent, when is it required, how did informed consent evolve into what it is today and what can the surgeon do to truly achieve informed consent. (C) 2017 Elsevier Inc. All rights reserved.