Vucemilo Luka, Babić-Bosanac Sanja, Altarac Silvio, Borovecki Ana
Lijec Vjesn. 2014 Mar-Apr;136(3-4):104-9.
Respecting the informed consent and its implementation is one of the fundamental components of high-quality health care. This article discusses the informed consent with an overview of Croatian and international legal documents and scientific studies dealing with this issue. Based on the review of the literature it can be concluded that this is an important issue that contains several key components that should be observed and investigated. It is necessary to evaluate the purposefulness and quality of the implementation of the informed consent, to systematically examine respect of the patients' right to information regarding the medical procedure during treatment, to explore decision-making model in the physician-patient encounter in Croatian hospitals, to determine the content and amount of information shared between physicians and patients, to determine the content and readability of consent forms and written patient information on the medical procedure. In order to assure higher quality of the implementation of the informed consent it is necessary to define by law a list of medical procedures that require written consent and to uniform consent forms for the same medical procedures country-wide.
尊重知情同意及其实施是高质量医疗保健的基本组成部分之一。本文通过概述克罗地亚及国际上处理该问题的法律文件和科学研究来探讨知情同意。基于文献综述可以得出结论,这是一个重要问题,包含几个应予以遵守和研究的关键要素。有必要评估知情同意实施的目的性和质量,系统审查在治疗过程中对患者了解医疗程序权利的尊重情况,探究克罗地亚医院医患互动中的决策模式,确定医生与患者之间共享信息的内容和数量,确定同意书以及关于医疗程序的患者书面信息的内容和可读性。为确保更高质量地实施知情同意,有必要通过法律界定需要书面同意的医疗程序清单,并在全国范围内统一相同医疗程序的同意书。