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马来西亚的知情同意:概述

Informed consent in Malaysia: an overview.

作者信息

Che Ngah Anisah

机构信息

Faculty of law, University of Kebangsaan Malaysia (National University of Malaysia), Bangi, 43000 Selangor, D.E. Malayasia.

出版信息

J Int Bioethique. 2005 Mar-Jun;16(1-2):143-61, 199. doi: 10.3917/jib.161.0143.

Abstract

The right of a person to control his body is a concept that has long been recognized in Malaysia under the law of torts. The purpose of requiring informed consent is to preserve that right in medical decision-making. Informed Consent is a relatively new concept in medical litigation cases. However in the late 1990's, it has become one of the important claims under negligence made against the doctor for failure to disclose relevant information to patients in respect of the treatment proposed. Whether Malaysia has begun to recognize patient's right to decision-making is yet to be seen. Furthermore the social-cultural relationship between doctors and patients had to be considered. In this respect, the researcher had conducted interviews with doctors and patients to gauge their reaction towards a shared process of decision-making, which is the central issue in the doctrine of informed consent. Findings suggest that in society where primary health care is the main thrust to achieve health for all, the possibility of recognition of the rights of patients to receive information before making decisions about treatment appears remote. The findings also underscore the importance of incorporating aspects of informed consent as part of providing quality service to patients.

摘要

在马来西亚,根据侵权法,个人控制自己身体的权利是一个长期以来得到认可的概念。要求获得知情同意的目的是在医疗决策中维护这一权利。知情同意在医疗诉讼案件中是一个相对较新的概念。然而,在20世纪90年代后期,它已成为针对医生因未就拟议治疗向患者披露相关信息而提起的过失索赔中的一项重要主张。马来西亚是否已开始承认患者的决策权利还有待观察。此外,还必须考虑医生与患者之间的社会文化关系。在这方面,研究人员对医生和患者进行了访谈,以衡量他们对共同决策过程的反应,而这是知情同意原则的核心问题。研究结果表明,在以初级卫生保健为实现全民健康主要推动力的社会中,在患者就治疗做出决定之前承认其接受信息权利的可能性似乎微乎其微。研究结果还强调了将知情同意的各个方面纳入为患者提供优质服务的一部分的重要性。

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