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Informed consent: Do not be afraid.

Dominique Sprumont1

  • 1Institute of Health Law, University of Neuchâtel, Neuchâtel, Switzerland.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|October 1, 2015
PubMed
Summary

Doctors in Taiwan face challenges obtaining informed consent, often citing culture. This paper argues fear, similar to historical Western practices, is the real issue, advocating for patient-doctor partnerships.

Keywords:
doctor-patient partnershipdoctor-patient relationshipinformed consentpatient's rightsprofessional obligation

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Area of Science:

  • Medical Ethics
  • Doctor-Patient Relationship
  • Cultural Influences in Healthcare

Background:

  • Informed consent is theoretically central to the doctor-patient relationship.
  • Doctors in Taiwan often struggle with the obligation to obtain informed consent before medical interventions.
  • Cultural factors, particularly the role of family, are frequently cited as reasons for this reluctance.

Purpose of the Study:

  • To critically examine the reasons behind doctors' difficulties in obtaining informed consent in Taiwan.
  • To challenge the notion that cultural factors are the primary barrier.
  • To propose a shift in the doctor-patient dynamic towards partnership.

Main Methods:

  • The study presents a critical analysis of the current practices and justifications for informed consent in Taiwan.
  • It draws parallels with historical challenges faced in Western countries.
  • It involves a conceptual argument rather than empirical data collection.

Main Results:

  • The paper argues that the reluctance to obtain informed consent stems more from a fear similar to that experienced in the USA and Europe until the 1980s.
  • Cultural arguments are presented as potentially masking deeper-seated issues.
  • There is a perceived inability of doctors to move beyond paternalism versus patient autonomy.

Conclusions:

  • It is time to change the paradigm and acknowledge patients' capacity to handle difficult diagnoses.
  • Moving beyond the dichotomy of paternalism versus autonomy is crucial.
  • Establishing a true partnership between doctors and patients is essential for ethical medical practice.