Morgan R Andrew
Neiswanger Institute for Bioethics, Loyola University Chicago, Chicago, IL, USA.
HEC Forum. 2024 Mar;36(1):61-70. doi: 10.1007/s10730-022-09478-8. Epub 2022 Apr 21.
Cost conversations are essential to informed consent because patients have a right to information that they think is relevant, and patients overwhelmingly report that cost information is relevant to their medical decisions. Providers have an ethical responsibility to provide necessary information for informed consent, and therefore must discuss costs. The Shared Decision Making model is ideal for enabling this exchange of information, and decision aids are also helpful. Although barriers exist, many useful tools can help providers fulfill this obligation, and encouraging progress is being made to improve cost transparency from insurers and facilities.
费用沟通对于知情同意至关重要，因为患者有权获取他们认为相关的信息，而且绝大多数患者报告称费用信息与他们的医疗决策相关。医疗服务提供者有道德责任提供必要信息以实现知情同意，因此必须讨论费用问题。共同决策模式非常适合促成这种信息交流，决策辅助工具也很有帮助。尽管存在障碍，但许多有用的工具可以帮助医疗服务提供者履行这一义务，而且在提高保险公司和医疗机构的费用透明度方面正在取得令人鼓舞的进展。
