Department of Internal Medicine, Cleveland Clinic Foundation, 9500 Euclid Ave, G10 Clinic, Cleveland OH 44195, USA.
Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, P.O. Box 36, Byblos, Lebanon.
Med Clin North Am. 2022 Jul;106(4):663-674. doi: 10.1016/j.mcna.2022.01.008.
Informed consent plays an integral role in governing the patient-physician relationship with origins traced back to ancient Greek philosophy. The main pillars of informed consent are autonomy, integrity, respect, and care. In the last century, these notions have been codified into legislation to promote healthy patient-physician relationships. Understanding the process of informed consent is critical for patients, researchers, and medical practitioners. In this article, the authors provide a brief historical narrative of informed consent, elaborate on the process of obtaining an ethically and legally valid informed consent, and present some of the future challenges in the field.
知情同意在规范医患关系方面起着重要作用,其起源可以追溯到古希腊哲学。知情同意的主要支柱是自主性、完整性、尊重和关怀。在上个世纪,这些概念已被纳入立法,以促进健康的医患关系。了解知情同意的过程对患者、研究人员和医疗从业者至关重要。本文作者简要叙述了知情同意的历史,详细阐述了获得伦理和法律上有效的知情同意的过程,并提出了该领域未来的一些挑战。