Korusić Andelko, Merc Vlasta, Duzel Viktor, Tudorić-Djeno Ivana, Zidak Davorka, Brundula Ana, Sojcić Natasa, Milanović Rudolf, Barić Ada, Beslić Gabrijela
University of Zagreb, University Hospital "Dubrava", Clinical Department of Anesthesiology, Reanimatology and Intensive Care Medicine, Zagreb, Croatia.
Coll Antropol. 2013 Sep;37(3):1033-8.
Physicians have always strived to uphold all the ethical postulates of the medical profession in all aspects of the practice, however with the vast advances in science and technology, numerous ethical dilemmas regarding all aspects of life and ultimately death have emerged. Medical decisions however, are no longer in the sole jurisdiction of traditional Hippocratic medicine but are now deliberated and delivered by the patient and they are comprised of a number of additional determining aspects such as psychological, social, legal, religious, esthetic, administrative etc., which all together represent the complete best interest of the patient. This is the basic goal of the "Informed Consent". The widening of legal boundaries regarding professional liability may consequentially lead to a "defensive medicine" and a deterioration in the quality of healthcare. In the Republic of Croatia there a four types of liability and the hyperproduction of laws which regulate healthcare geometrically increase the hazards to which physicians are exposed to on a daily basis. When evaluating the Croatian informed consent for anesthesia, we can come to the conclusion that it is completely impractical and as such entirely unnecessary. Anesthesiologists should concentrate on an informed consent which would in brief explain all the necessary information a "reasonable" anesthesiologist would disclose to a "reasonable" patient so that a patient could undertake a diagnostic or therapeutic procedure unburdened and with complete confidence in the physicians who are involved in the treatment of the respective patient.
医生们一直努力在医疗实践的各个方面秉持医学专业的所有伦理准则，然而，随着科学技术的巨大进步，出现了许多关于生命各个方面乃至死亡的伦理困境。然而，医疗决策不再仅仅由传统的希波克拉底医学决定，现在由患者参与讨论并做出，而且这些决策包含许多其他决定性因素，如心理、社会、法律、宗教、审美、行政等，所有这些共同代表了患者的完全最大利益。这就是“知情同意”的基本目标。关于职业责任的法律界限的扩大可能会相应地导致“防御性医疗”以及医疗质量的下降。在克罗地亚共和国，存在四种责任类型，而且规范医疗保健的法律大量增加，几何倍数地增加了医生日常面临的风险。在评估克罗地亚的麻醉知情同意书时，我们可以得出结论，它完全不切实际，因此完全没有必要。麻醉医生应该专注于一份知情同意书，简要解释一位“理性”的麻醉医生会向一位“理性”的患者披露的所有必要信息，以便患者能够毫无负担地并完全信任参与该患者治疗的医生进行诊断或治疗程序。
