Self-Determination
Self-Determination
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DOI：
10.2307/j.ctvcm4hkf.14
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发表时间：
2019-03
期刊：
影响因子：
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通讯作者：
Éfren Paulo;Porfírio;Sá Lima;El consentimiento informado Éfren;Paulo Porfírio;I. Introducción
中科院分区：
文献类型：
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作者：
Éfren Paulo;Porfírio;Sá Lima;El consentimiento informado Éfren;Paulo Porfírio;I. Introducción
：本研究的目的是证明患者在健康问题上的自我决定构成知情同意的核心。采用定性的文献研究方法，从三个基本前提出发：（i）属与种关系，将知情同意作为属医疗行为的一个物种； (ii) 临床信息和治疗信息之间的区别有助于理解医疗行为可以分为两部分：知情同意和提供医疗保健； (iii) 医疗行为中包含知情同意，无论医患关系是合同性质还是非合同性质。接下来，分析了复杂的知情同意的强制性程序，强调了信息的积极提供和在没有或违背患者意愿的情况下不提供医疗保健的消极规定。最后，讨论了患者同意的性质，以便将其纳入合同订立时的接受范围，适用各自的法律制度，但自由撤销和无补偿的例外情况除外。
: The aim of this study is to demonstrate that the patient's self-determination in health matters constitutes the central core of informed consent. Using the method of documentary research, of a qualitative nature, it starts from three basic premises: (i) the genus-species relationship, placing informed consent as a species of the genus medical act; (ii) the distinction between clinical in-formation and therapeutic information favors the understanding that the medical act can be bro-ken down into two parts, informed consent and the provision of health care; and (iii) informed consent is found in the medical act, regardless of the contractual or non-con-tractual nature of the doctor-patient relationship. Next, the complex obligatory program of informed consent is ana-lyzed, highlighting the positive provision of information and the negative provision of refraining from carrying out the provision of health care without or against the patient's manifestation of will. Finally, the nature of the patient's consent is discussed, in order to fit it into the figure of acceptance in the formation of contracts, applying the respective legal regime, with the exceptions of free revocability and without compensation.