Hastings Cent Rep. 2021 Mar;51(2):2. doi: 10.1002/hast.1237.
Two articles in the March-April 2021 issue of the Hastings Center Report consider alterations to traditional informed consent. In "The Consent Continuum: A New Model of Consent, Assent, and Nondissent for Primary Care," Marc Tunzi and colleagues argue that, in primary care settings, patient consent should be understood as taking a range of forms depending on the procedure, the patient, and the patient-care context. Traditional informed consent is at the ceremonious end; for many things done in these settings, the authors assert, assent or even nondissent is fine. In the lead article, health policy scholars Stephanie Morain and Emily Largent consider another continuum for informed consent, this one occurring with pragmatic research, at the intersection of clinical care with research.
《 Hastings 中心报告》2021 年 3-4 月刊中的两篇文章探讨了对传统知情同意的修改。在“同意连续体：初级保健中同意、同意和不同意的新模式”一文中，Marc Tunzi 及其同事认为，在初级保健环境中，应根据程序、患者和患者护理背景，将患者的同意理解为采取多种形式。传统的知情同意处于正式的一端；作者断言，对于在这些环境中进行的许多事情，同意甚至不同意也可以。在主要文章中，健康政策学者 Stephanie Morain 和 Emily Largent 考虑了知情同意的另一个连续体，即与临床护理与研究交叉的实用研究中的连续体。
