Difficult decisions: a critical analysis of consent to high-risk medical procedures

艰难的决定：对高风险医疗程序同意的批判性分析

• 批准号: nhmrc : 457439
• 负责人: A/Pr Christopher Jordens
• 金额: $ 21.4万
• 依托单位: The University of Sydney
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2007
• 资助国家: 澳大利亚
• 起止时间: 2007-01-01 至 2009-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/difficult-decisions-critical-medical-procedures/94355
• 关键词: Difficult; decisions; critical; analysis; consent

Consent is the cornerstone of ethics as applied to healthcare and is central to the relationship between healthcare and the law. Whilst no-one would deny the importance of seeking consent to high-risk medical procedures, much depends on the practical manner in which this is done. By studying consent for high-risk procedures with the participation of patients and their health care providers, we will both test the limits of consent and find practical ways to address those limits. In doing so, the project will re-cast consent processes in a way that better accommodates the contingencies of clinical practice in high-risk settings in which patient autonomy is often compromised. Because this reformulation of consent will be grounded in the realities of high-risk clinical practice, our findings will reflect the needs and values of relevant stakeholders (patient and health professionals) and more likely to make a significant contribution to patient care and health policy. This project also addresses what the High Court of Australia has acknowledged as widespread weaknesses in the common formulation of consent in medicine. Finally this project, which operates in an important area of overlap between the law and medicine, will show how these disciplines can work jointly to serve the interests of all Australians, and Australian society.

同意是适用于医疗保健的伦理学的基石，也是医疗保健与法律之间关系的核心。虽然没有人会否认寻求同意高风险医疗程序的重要性，但这在很大程度上取决于这样做的实际方式。通过研究患者及其医疗保健提供者参与的高风险程序的同意，我们将测试同意的限制，并找到解决这些限制的实际方法。在这样做的过程中，该项目将以一种更好地适应高风险环境中临床实践突发事件的方式重新安排同意过程，在这种情况下，患者的自主权往往受到损害。由于这种同意的重新表述将以高风险临床实践的现实为基础，我们的研究结果将反映相关利益相关者（患者和卫生专业人员）的需求和价值观，更有可能为患者护理和卫生政策做出重大贡献。该项目还解决了澳大利亚高等法院承认的在医学中共同表述同意方面普遍存在的弱点。最后，该项目在法律和医学之间的一个重要重叠领域运作，将展示这些学科如何共同努力，为所有澳大利亚人和澳大利亚社会的利益服务。