Shandera Wayne Xavier
Baylor College of Medicine, Houston, TX, USA,
Med Health Care Philos. 2013 Nov;16(4):679-82. doi: 10.1007/s11019-012-9448-y.
Informed consent is thought to exist as a well-defined entity. Altered concepts of patient autonomy, differential cultural understanding of the entity, and the failure of clients to distinguish between research and clinical ethics, and various hierarchical cultural views of informed consent all suggest that alterations may be needed in the traditional concept. By using the methodology outlined by Gasking in which he defines the idea of "cluster concepts," one may be able to enlarge the definition and augment the understanding of the informed consent and include the time and culture-specific variants which exist.
知情同意被认为是一个定义明确的实体。患者自主权概念的变化、对该实体的不同文化理解、客户未能区分研究伦理和临床伦理,以及对知情同意的各种等级文化观点,都表明可能需要对传统概念进行调整。通过使用加斯金概述的方法,他在其中定义了“聚类概念”的概念,人们或许能够扩大知情同意的定义并增强对其的理解,包括存在的特定时间和文化变体。