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[患者自主权与知情同意——伦理与法律问题]

[Patient autonomy and informed consent - ethical and legal issues].

作者信息

Wolf-Braun Barbara, Wilke Hans-Joachim

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2015 Mar;50(3):202-9; quiz 210. doi: 10.1055/s-0041-100220. Epub 2015 Apr 7.

DOI:10.1055/s-0041-100220
PMID:25850648
Abstract

Informing patients about the benefits and risks of and alternatives to proposed medical or surgical procedures is crucial to the patient-physician relationship. It is a legal and ethical precondition to a patient's informed consent to a course of action. Particularly in cases of serious illness and when there are far reaching implications for a patient's lifestyle, this process entails much more than just imparting information. Indeed, it is a dialogue through which the physician empowers the patient to reach a decision which reflects the patient's life situation and system of values. This process promotes patient autonomy. Studies have shown that this approach builds trust, increases patient satisfaction with health care and results in a higher degree of professional fulfilment for the physician.

摘要

向患者告知拟议的医疗或外科手术的益处、风险及替代方案,对于医患关系至关重要。这是患者知情同意采取某一行动方案的法律和伦理前提。尤其是在重病病例以及对患者生活方式有深远影响的情况下,这一过程所涉及的远不止是传递信息。事实上,这是一场对话,通过这场对话,医生使患者能够做出反映其生活状况和价值体系的决定。这一过程促进了患者的自主权。研究表明,这种方法能够建立信任,提高患者对医疗保健的满意度,并使医生获得更高程度的职业成就感。

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[Patient autonomy and informed consent - ethical and legal issues].[患者自主权与知情同意——伦理与法律问题]
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[Patient autonomy and education -- for patients].[患者自主权与教育——针对患者]
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