Wainstein Marina, Menzies Anna Rose, Brennan Frank Patrick, Brown Mark Ashley
Nephrologist, Department of Renal Medicine, St George Hospital, Kogarah, Sydney, NSW, Australia.
Basic Physician Trainee, Department of Renal Medicine, St George Hospital, Sydney NSW, Australia.
J Law Med. 2018 Jul;25(4):992-1008.
A doctor has a legal duty to secure the informed consent of a patient prior to performing a medical or surgical procedure. The elements of the legal doctrine of informed consent include capacity, voluntariness and the provision and understanding of relevant information. This article examines the doctrine in the context of renal dialysis. Dialysis is a complex therapy that impacts upon quality of life and has limited survival advantage in some patients. It is likely that informed consent is often not fully integrated into the care of patients commencing dialysis. The article analyses the common law doctrine of informed consent as it relates to dialysis and presents the findings of a retrospective study of the adequacy of the consent process based on interviews with dialysis patients who commenced dialysis in the previous 12 months. It concludes with recommendations for improvement in practice.
医生在实施医疗或外科手术前，负有确保获得患者知情同意的法律责任。知情同意法律原则的要素包括行为能力、自愿性以及相关信息的提供与理解。本文在肾透析的背景下审视这一原则。透析是一种复杂的治疗方法，会影响生活质量，且对某些患者的生存优势有限。开始透析的患者护理中，知情同意很可能常常未得到充分落实。本文分析了与透析相关的普通法知情同意原则，并呈现了一项回顾性研究的结果，该研究基于对前12个月开始透析的患者的访谈，探讨了同意程序的充分性。文章最后提出了实践改进建议。
