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INFORMED CONSENT Beyond The Person and The Body.

G V Lacasella1, K Karaboue1

  • 1Section of Legal Medicine Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.

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Summary

Patient autonomy has evolved, now encompassing surrogate consent and the use of biological materials for research. This shift empowers individuals, moving away from a paternalistic medical model towards shared decision-making and respect for personal freedom.

Keywords:
biomedicineinformed consentmedicalisation

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Area of Science:

  • Bioethics
  • Medical Law
  • Patient Rights

Background:

  • Historically, medical decisions were physician-centric, with limited patient involvement.
  • Patients were often treated paternalistically, with information withheld and choices made for them.
  • The concept of patient autonomy was not widely recognized or implemented.

Purpose of the Study:

  • To examine the evolution of patient autonomy in medical decision-making.
  • To highlight the inclusion of surrogate consent and the ethical considerations of using biological materials.
  • To underscore the legal and ethical basis of informed consent in healthcare.

Main Methods:

  • Review of historical medical practices and ethical principles.
  • Analysis of legal frameworks surrounding patient consent.
  • Examination of the shift from physician-led to patient-centered care.

Main Results:

  • Patient power of choice has expanded beyond immediate physical care.
  • Surrogate consent is now a recognized aspect of medical decision-making.
  • Cells, tissues, and organs, previously discarded, are now valuable research resources.

Conclusions:

  • The principle of informed consent is central to modern medical practice and personal freedom.
  • Medical authority is derived solely from patient consent.
  • The evolving landscape of healthcare respects individual autonomy and utilizes biological resources ethically.