让我们理性:在COVID-19时代进行手术的知情同意
Steven E Raper1, Justin T Clapp1, Lee A Fleisher1
1From the Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; and Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
概括
知情同意应该集中在拟议的操作上,而不是新的不确定性,如流行病. 扩大披露义务过度压力知情同意的法律和道德原则.
科学领域:
- 医学伦理 医学伦理
- 法律医学 法律医学
- 患者的自主权患者的自主权
背景情况:
- 知情同意原则是患者自主权和伦理医疗实践的核心.
- 最近的全球卫生事件,如COVID-19大流行,已经提出了关于披露范围的问题.
- 关于新型疾病和治疗的不确定性挑战了传统的知情同意框架.
研究的目的:
- 分析扩大知情同意义务的含义,包括新的不确定性.
- 倡导在医疗程序中对知情同意采取专注的方法.
- 确定知情同意学说的适当界限.
主要方法:
- 对管理知情同意的法律和道德原则的概念分析.
- 审查有关医学伦理和披露义务的现有文献.
- 基于既定法律和伦理学说的论证性文章.
主要成果:
- 扩大知情同意范围以涵盖所有新的不确定性是不切实际的,并且过度延伸学说.
- 一种传统的方法,专注于特定的程序及其已知的风险,更合适.
- 过于广泛的披露要求可能会压倒患者,并掩盖重要信息.
结论:
- 经知情同意的过程应始终以拟议的医疗干预的具体情况为中心.
- 新的不确定性虽然很重要,但不应该削弱知情同意程序的核心要求.
- 保持专注的范围可以确保知情同意过程对患者和临床医生来说仍然有效和可管理.
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