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英国兽医实践中同意书的作用。

Role of the consent form in UK veterinary practice.

机构信息

School of Law and Social Justice, University of Liverpool, Liverpool, Merseyside, UK

出版信息

Vet Rec. 2020 Oct 17;187(8):318. doi: 10.1136/vr.105762. Epub 2020 Sep 11.

DOI:10.1136/vr.105762
PMID:32917836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7606496/
Abstract

BACKGROUND

Informed consent from the client is required before veterinary professionals may administer treatment or perform surgery on an animal patient, except in an emergency. This study investigates the potential role(s) of the consent form in the consent process in the UK.

METHODS

Thematic analysis was carried out on the text contained in 39 blank consent forms sourced from veterinary practices in the UK. Analysis was conducted at the levels of topical survey and thematic summary.

RESULTS

Consent forms were used to authorise procedures, to define proposed treatment, to offer or recommend additional procedures, to convey the risks of treatment and to document the client's financial obligations. None of the forms analysed provided sufficient space to document the accompanying conversation. Notable omissions from the submitted forms included options for treatment and benefits of treatment.

CONCLUSIONS

The consent form acts as a record of the procedure to be performed, the associated costs and the status of the person giving consent. However, from this analysis, it often fails to record the detail of the consent discussion, an essential part of the consent process. A proposal for an improved version of a veterinary consent form is provided.

摘要

背景

兽医专业人员在对动物患者进行治疗或手术前,必须获得客户的知情同意,除非是紧急情况。本研究调查了同意书在英国同意过程中的潜在作用。

方法

对来自英国兽医诊所的 39 份空白同意书的文本进行了主题分析。在主题调查和主题总结的层面上进行了分析。

结果

同意书用于授权程序、定义拟议的治疗、提供或建议附加程序、传达治疗风险以及记录客户的财务义务。分析的表格中没有一个提供足够的空间来记录伴随的对话。提交的表格中明显遗漏了治疗选项和治疗益处。

结论

同意书作为将要进行的程序、相关费用和同意人的身份的记录。然而,从这项分析来看,它往往未能记录同意讨论的细节,而这是同意过程的重要组成部分。提出了一种改进的兽医同意书版本的建议。

相似文献

1
Role of the consent form in UK veterinary practice.英国兽医实践中同意书的作用。
Vet Rec. 2020 Oct 17;187(8):318. doi: 10.1136/vr.105762. Epub 2020 Sep 11.
2
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本文引用的文献

1
Informed consent in veterinary medicine: Ethical implications for the profession and the animal 'patient'.兽医学中的知情同意:对该职业及动物“患者”的伦理意义。
Food Ethics. 2018 Mar;1(3):247-258. doi: 10.1007/s41055-017-0016-2. Epub 2017 Aug 21.
2
Readability of consent forms in veterinary clinical research.兽医临床研究中知情同意书的可读性
J Vet Intern Med. 2019 Mar;33(2):350-355. doi: 10.1111/jvim.15462. Epub 2019 Feb 22.
3
Does written informed consent adequately inform surgical patients? A cross sectional study.书面知情同意是否充分告知手术患者?一项横断面研究。
BMC Med Ethics. 2019 Jan 7;20(1):1. doi: 10.1186/s12910-018-0340-z.
4
Survey of veterinary clients' perceptions of informed consent at a referral hospital.转诊医院中兽医客户对知情同意的认知调查。
Vet Rec. 2017 Jan 7;180(1):20. doi: 10.1136/vr.104039. Epub 2016 Oct 13.
5
Readability of Invasive Procedure Consent Forms.侵入性操作同意书的可读性。
Clin Transl Sci. 2015 Dec;8(6):830-3. doi: 10.1111/cts.12364. Epub 2015 Dec 17.
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Another look at the informed consent process: The document and the conversation.再看知情同意过程:文件与对话。
Cancer. 2016 Feb 1;122(3):352-4. doi: 10.1002/cncr.29760. Epub 2015 Oct 27.
7
Informed consent in primary dental care: patients' understanding and satisfaction with the consent process.初级牙科护理中的知情同意:患者对同意过程的理解与满意度
Br Dent J. 2015 Sep 11;219(5):221-4. doi: 10.1038/sj.bdj.2015.687.
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Risk of anaesthetic mortality in dogs and cats: an observational cohort study of 3546 cases.犬猫麻醉死亡率:一项对3546例病例的观察性队列研究。
Vet Anaesth Analg. 2012 Jan;39(1):59-68. doi: 10.1111/j.1467-2995.2011.00686.x.
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Patients' perceptions of written consent: questionnaire study.患者对书面同意书的认知:问卷调查研究
BMJ. 2006 Sep 9;333(7567):528. doi: 10.1136/bmj.38922.516204.55. Epub 2006 Jul 31.
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What can veterinarians learn from studies of physician-patient communication about veterinarian-client-patient communication?兽医能从关于医患沟通的研究中学到什么来用于兽医-客户-患者沟通?
J Am Vet Med Assoc. 2004 Mar 1;224(5):676-84. doi: 10.2460/javma.2004.224.676.