Ali Furkhan, Gajera Gopi, Gowda Guru S, Srinivasa Preeti, Gowda Mahesh
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
Department of Psychiatry, Spandana Health Care, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2019 Apr;61(Suppl 4):S667-S675. doi: 10.4103/psychiatry.IndianJPsychiatry_163_19.
Consent is a process that allows for free expression of an informed choice, by a competent individual. The consent is considered as one of the important components of health-care delivery and biomedical research today. Informed consent involves clinical, ethical, and legal dimensions and is believed to uphold an individual's autonomy and the right to choose. It is very important in Indian mental health care as the Mental Healthcare Act (MHCA) 2017 mandates informed consent in admission, treatment, discharge planning, and research intervention/procedures. In 2017, the Indian Council of Medical Research laid down the National Ethical Guidelines for BioMedical and Health Research involving Human Participant for research protocols, which the MHCA advocates. This article gives an overview on the evaluation of consent in clinical practice and also highlights the approach and challenge in psychiatric practice in India.
同意是一个过程,它允许有行为能力的个体自由表达知情选择。如今,同意被视为医疗保健服务和生物医学研究的重要组成部分之一。知情同意涉及临床、伦理和法律层面,被认为维护了个体的自主权和选择权。在印度精神卫生保健中,这一点非常重要,因为2017年的《精神卫生保健法》(MHCA)规定在入院、治疗、出院计划以及研究干预/程序中需获得知情同意。2017年,印度医学研究理事会制定了涉及人类受试者的生物医学和健康研究的国家伦理准则,用于研究方案,这也是MHCA所倡导的。本文概述了临床实践中对同意的评估,并突出了印度精神病学实践中的方法和挑战。