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Informed consent and routinisation.

Thomas Ploug1, Soren Holm

  • 1Centre for Applied Ethics and Philosophy of Science, Aalborg University Copenhagen, AC Meyers Vænge 15, København S 2450, Denmark. ploug@hum.aau.dk

Journal of Medical Ethics
|December 11, 2012
PubMed
Summary
This summary is machine-generated.

Informed consent processes online are becoming routine, potentially undermining patient autonomy. This study identifies causes and discusses solutions to prevent the routinisation of consent for health information exchange.

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Area of Science:

  • Bioethics
  • Medical Informatics
  • Sociology of Health

Background:

  • Informed consent is a cornerstone of ethical medical practice and patient autonomy.
  • The increasing digitization of healthcare interactions raises new challenges for obtaining meaningful informed consent.
  • Routinisation, the process of making actions habitual and less conscious, is a potential threat in digital consent procedures.

Purpose of the Study:

  • To introduce and explore the concept of 'routinisation' in the context of informed consent, particularly in online environments.
  • To investigate the extent to which informed consent for health information exchange is becoming routinised.
  • To identify factors contributing to this routinisation and propose countermeasures.

Main Methods:

  • A large-scale survey was conducted to gather data on online interactions involving informed consent.
  • Analysis focused on consent procedures related to the exchange of health-related information.
  • Statistical methods were used to determine the relationship between information type and the degree of routinisation.

Main Results:

  • Evidence suggests that informed consent processes, especially for health data, are frequently routinised in online settings.
  • The degree of routinisation varies depending on the nature of the health information being exchanged.
  • Several underlying causes for the routinisation of informed consent were identified.

Conclusions:

  • The routinisation of informed consent poses a significant risk to patient autonomy in digital health interactions.
  • Understanding the causes and contextual factors of routinisation is crucial for developing effective interventions.
  • Strategies are needed to ensure that informed consent remains a meaningful process, safeguarding personal autonomy.