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Informed consent: moral necessity or illusion?

L Doyal1

  • 1St Bartholomew's and The Royal London School of Medicine and Dentistry, Queen Mary & Westfield College, University of London, London E1, UK. l.doyal@mds.qmw.ac.uk

Quality in Health Care : QHC
|September 5, 2001
PubMed
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Informed consent is a cornerstone of medical ethics, respecting patient autonomy. Addressing patient understanding and participation requires enhanced clinician communication and educational resources, acknowledging broader social inequalities.

Area of Science:

  • Medical Ethics
  • Bioethics
  • Patient Autonomy

Background:

  • Professional and legal consensus mandates informed consent for patient treatment.
  • Respect for individual autonomy is a core cultural value underpinning informed consent.
  • Recent research highlights challenges in obtaining informed consent due to patient cognitive and emotional difficulties.

Purpose of the Study:

  • To address the argument that patient comprehension issues undermine informed consent.
  • To propose solutions for improving the informed consent process.
  • To link patient cognitive and emotional inequalities to wider social and economic disparities.

Main Methods:

  • Literature review and ethical analysis.
  • Examination of research on patient understanding of clinical information.

Related Experiment Videos

  • Argumentative synthesis of ethical principles and practical challenges.

    • Main Results:

    • Patient cognitive and emotional challenges do not negate their capacity for informed consent.
    • Enhanced clinician communication skills and patient educational materials are crucial.
    • Social and economic inequalities significantly impact patients' ability to engage in informed consent.

    Conclusions:

    • Improving informed consent requires investing in clinician training and patient education.
    • Addressing systemic social and economic inequalities is essential for equitable informed consent.
    • Ethical commitment to informed consent necessitates tackling underlying societal disparities.