知情同意：它不只是签署一份表格。

Informed consent: it's not just signing a form.

作者信息

Jones James W, McCullough Lawrence B, Richman Bruce W

机构信息

Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX 77030, USA.

出版信息

Thorac Surg Clin. 2005 Nov;15(4):451-60, v. doi: 10.1016/j.thorsurg.2005.06.001.

DOI:10.1016/j.thorsurg.2005.06.001

PMID:16276809

Abstract

Informed consent plays a major role in forming a therapeutic alliance with the patient. The informed consent process has evolved from simple consent, in which the surgeon needed only to obtain the patient's permission for a procedure, into informed consent, in which the surgeon provides the patient with information about clinically salient features of a procedure, the patient understands this information adequately, and the patient voluntarily authorizes the surgeon to perform the procedure. Special circumstances of informed consent include conflicting professional opinions, consent with multiple physicians, patients who are undecided or refuse surgery, patients with diminished decision-making capacity, surrogate decision making, pediatric assent, and consent for the involvement of trainees.

摘要

知情同意在与患者建立治疗联盟中起着重要作用。知情同意过程已从简单同意（即外科医生只需获得患者对手术的许可）演变为知情同意，即外科医生向患者提供有关手术临床显著特征的信息，患者充分理解该信息，并且患者自愿授权外科医生进行手术。知情同意的特殊情况包括相互冲突的专业意见、多位医生的同意、犹豫不决或拒绝手术的患者、决策能力下降的患者、替代决策、儿童同意以及实习生参与的同意。