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认识转变性医疗程序和知情同意
1UC Irvine School of Medicine, Irvine, California, USA.
The Journal of medicine and philosophy
|September 24, 2025
概括
在医疗程序中,知情同意对导致认识系统转变的医疗程序具有挑战性,患者获得新的经验知识. 通过患者的证词或VR来补充事实信息可以改善患者的决策.
科学领域:
- 医学伦理 医学伦理
- 医学哲学 医学哲学
- 患者的决策能力
背景情况:
- 知情同意是道德医疗实践的基石.
- 目前的知情同意模型主要依赖于传达事实信息 (知识).
- 某些医疗程序涉及认识系统转换,通过直接经验改变患者的理解.
研究的目的:
- 争辩说,真正的知情同意是不可实现的认识转化医疗程序.
- 探索这种不可能对患者决策的含义.
- 为此类程序提出改善知情同意程序的方法.
主要方法:
- 哲学论证分析知情同意和知识的性质.
- 对"知识-那"与"知识-它是什么样的" (现象知识) 的概念分析.
- 讨论潜在的干预措施,以加强程序前咨询.
主要成果:
- 当程序引发认识转变时,真正的知情同意是不可能的,因为"知道它是什么样的"不能仅仅通过"知道"来传达.
- 诸如化疗,侵入性手术,耳植入物和性别确认手术等程序是认识系统转变的例子.
- 标准的知情同意被经验差距所破坏.
结论:
- 临床医生应该通过患者证词或VR / AR等方法来补充传统咨询.
- 这些方法旨在部分弥合经验差距,解决"知道它是什么样子"的缺陷.
- 改善医疗治疗体验方面的沟通对于患者的自主性至关重要.
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