Kakuk Péter
Debreceni Egyetem, Orvos- és Egészségtudományi Centrum, Altalános Orvostudományi Kar, Magatartástudományi Intézet.
Orv Hetil. 2004 Jul 18;145(29):1517-22.
The author highlights some pragmatic aspects of informed consent that could help to bridge the gap between the currently valid legal requirements and the practical realities of providing medical information in Hungarian health-care settings. One of the crucial point of informed consent is whether the patient properly understood the provided medical information. Consequently, effective communication becomes an inevitable condition of providing informed consent. The results and insights coming from psychological research--concerning lay understanding of medical information, of the readability of consent forms, and especially of the lay understanding of statistical information, and risk communication--could help to create a better practice of medical communication that could satisfy both ethical and legal requirements. The author argues as well for creating more concrete and practically oriented guidelines concerning informed consent that would also help to increase the quality of medical information giving. These might help us approach the medical ideal that was conceptualised in the doctrine of informed consent.
作者强调了知情同意的一些务实方面，这些方面有助于弥合匈牙利医疗保健环境中当前有效的法律要求与提供医疗信息的实际现实之间的差距。知情同意的一个关键点是患者是否正确理解了所提供的医疗信息。因此，有效的沟通成为提供知情同意的必然条件。心理学研究得出的结果和见解——关于外行对医疗信息的理解、同意书的可读性，尤其是外行对统计信息的理解以及风险沟通——有助于创造更好的医疗沟通实践，既能满足伦理要求，又能满足法律要求。作者还主张制定更具体、更具实践导向性的知情同意指南，这也将有助于提高医疗信息提供的质量。这些可能有助于我们接近在知情同意原则中概念化的医疗理想。
