Informed consent revisited: Japan and the US

Informed consent revisited: Japan and the US
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DOI:
10.1080/15265160500394549
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发表时间:
2006-01-01
影响因子:
13.4
通讯作者:
Slingsby, BT
Slingsby, BT
中科院分区:
人文科学1区
文献类型:
--
作者:
Akabayashi, A;Slingsby, BT

文献摘要

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知情同意、决策方式和医患关系的作用是全世界临床医学的重要方面。我们提出的情况下,74岁的妇女患有晚期肝癌的主治医生,应家庭的要求,没有告诉她她的真正诊断。在我们的分析中,我们探讨了患者之间的差异知情同意的风格谁拥有一个“独立的”和“相互依存”的自我conciliation,然后强调可能的影响,这一立场保持在国际临床伦理的背景下。最后,我们讨论了需要重新评估知情同意的风格适合每个病人的需要,无论他或她居住在美国或日本。
Informed consent, decision-making styles and the role of patient-physician relationships are imperative aspects of clinical medicine worldwide. We present the case of a 74-year-old woman afflicted with advanced liver cancer whose attending physician, per request of the family, did not inform her of her true diagnosis. In our analysis, we explore the differences in informed-consent styles between patients who hold an "independent" and "interdependent" construal of the self and then highlight the possible implications maintained by this position in the context of international clinical ethics. Finally, we discuss the need to reassess informed-consent styles suitable to the needs of each patient regardless of whether he or she resides in the United States or in Japan.