脚手架的知情同意书
Dominic Wilkinson1,2,3,4,5, Neil Levy6,7
1Uehiro Oxford Institute, University of Oxford, Oxford, UK dominic.wilkinson@uehiro.ox.ac.uk.
Journal of medical ethics
|January 11, 2025
概括
知情同意必须考虑患者如何获得知识以做出自主决策. 在同意周围重新构建同意.
科学领域:
- 生物伦理学生物伦理学
- 医疗法 法律 医疗法
- 医学哲学 医学哲学
背景情况:
- 患者自主权是医疗实践中知情同意的基石.
- 当前的知情同意模式往往忽视了行使自主权所固有的认识学依赖.
- 了解这些依赖关系对于道德医学决策至关重要.
研究的目的:
- 将自主权"架构"的哲学概念应用于医学中的知情同意.
- 重新评估医生与患者关系中的现有决策支持方法.
- 探索对高风险医疗决策的影响以及影响力的作用.
主要方法:
- 自主性脚手架的哲学分析.
- 检查现有的医生与患者关系模型.
- 关系自主理论的应用.
主要成果:
- 脚手架的自主性为当前的决策支持实践提供了新的理由.
- 它表明需要修订关于时间,地点和方法的同意程序.
- 技术可能在增强患者决策支持方面发挥重要作用.
结论:
- 知情同意应该被理解为一个建立患者自主权的过程,承认认识系统的依赖性.
- 高风险的决策需要保护免受不当的影响,而不是完全没有影响.
- 该框架为伦理医学决策和同意过程提供了细微的方法.
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