UQBS, St Lucia, Brisbane, Australia.
Health Informatics J. 2009 Sep;15(3):229-43. doi: 10.1177/1460458209337444.
Two widely discussed and debated aspects of health law literature are 'informed' consent to medical treatment and the right of access to personal health information. Both are tied to the larger subject of patients' rights, including the right to privacy. This article looks at the issue of informed consent internationally, and goes further to explain some of the inequalities across the world with respect to informed consent and patients' rights legislation via an analysis of the take-up of key legislative attributes in patient consent. Specifically, the effect that national culture, as defined by the GLOBE variables, has on the rate and pattern of adoption of these consent elements is analysed using binary logistic regression to provide evidence of the existence or otherwise of a cultural predicate of the legislative approach. The article concludes by outlining the challenges presented by these differences.
健康法文献中有两个广受讨论和争议的方面，即医疗治疗的“知情”同意和获取个人健康信息的权利。这两者都与更大的主题——患者权利相关，包括隐私权。本文从国际角度探讨了知情同意的问题，并通过分析患者同意方面的关键立法属性的采用情况，进一步说明了在知情同意和患者权利立法方面，世界各地存在的不平等现象。具体来说，使用二元逻辑回归分析了国家文化（由 GLOBE 变量定义）对这些同意要素的采用率和模式的影响，以证明立法方法是否存在文化前提。文章最后概述了这些差异带来的挑战。
