放射科是否需要对辐射风险进行知情同意？
Does radiology require informed consent for radiation risk?
机构信息
University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester, England, United Kingdom.
出版信息
Br J Radiol. 2021 Nov;94(1127):20210620. doi: 10.1259/bjr.20210620. Epub 2021 Aug 6.
Abstract
Recent trends in medical decision-making have moved from paternalistic doctor-patient relations to shared decision-making. Informed consent is fundamental to this process and to ensuring patients' ongoing trust in the health-care profession. It cannot be assumed that patients consent to the risk associated with medical exposures, unless they have been provided with the information to make that decision. This position is supported by both the legal and ethical framework around Radiation Protection detailed in this commentary.
摘要
近年来，医学决策已从家长式的医患关系转向共同决策。知情同意是这一过程的基础，也是确保患者对医疗保健行业持续信任的关键。除非患者已经获得了做出这一决策所需的信息，否则不能假设他们同意与医疗照射相关的风险。这一立场得到了本评论中详细阐述的辐射防护法律和伦理框架的支持。
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本文引用的文献
1
Ethical aspects in the use of radiation in medicine: update from ICRP Task Group 109.
Ann ICRP. 2020 Dec;49(1_suppl):143-153. doi: 10.1177/0146645320929630. Epub 2020 Aug 11.
2
Ionising radiation exposure from medical imaging - A review of Patient's (un) awareness.
Radiography (Lond). 2020 May;26(2):e25-e30. doi: 10.1016/j.radi.2019.10.002. Epub 2019 Oct 31.
3
SURVEY OF KEY RADIATION SAFETY PRACTICES IN INTERVENTIONAL RADIOLOGY: AN IRISH AND ENGLISH STUDY.
Radiat Prot Dosimetry. 2019 Jun 1;183(4):431-442. doi: 10.1093/rpd/ncy162.
4
Ionising radiation risk disclosure: When should radiographers assume a duty to inform?
Radiography (Lond). 2018 May;24(2):146-150. doi: 10.1016/j.radi.2017.12.002. Epub 2017 Dec 20.
5
ICRP Publication 138: Ethical Foundations of the System of Radiological Protection.
Ann ICRP. 2018 Feb;47(1):1-65. doi: 10.1177/0146645317746010.
6
Informed Consent for Radiation in Interventional Radiology Procedures.
Can Assoc Radiol J. 2018 Feb;69(1):30-37. doi: 10.1016/j.carj.2017.07.002. Epub 2017 Nov 29.
7
Pragmatic ethical basis for radiation protection in diagnostic radiology.
Br J Radiol. 2016;89(1059):20150713. doi: 10.1259/bjr.20150713.
8
For discussion: obtaining consent for ionising radiation: has the time come?
J Med Imaging Radiat Oncol. 2010 Oct;54(5):472-6. doi: 10.1111/j.1754-9485.2010.02199.x.
9
The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103.
Ann ICRP. 2007;37(2-4):1-332. doi: 10.1016/j.icrp.2007.10.003.
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