Children's Bioethics Centre, Melbourne School of Population and Global Health, University of Melbourne, Parkville, VIC 3052, Australia.
Biomedical Ethics, Murdoch Childrens Research Institute, Parkville, VIC 3052, Australia.
Br Med Bull. 2023 Apr 5;145(1):110-119. doi: 10.1093/bmb/ldac038.
The concept of consent in the pediatric setting is complex and confusing. Clinicians and researchers want to know whose consent they should obtain, when a child can provide independent consent and how that is determined. The aim of this article is to establish what produces the justification to proceed with medical or research interventions involving children and the role of consent in that. I clarify concepts such as consent, assent, capacity and competence.
Literature review.
Engaging with children and involving them in decisions about matters that affect them is a good thing.
The role of competence or capacity and the question of when a child can provide sole consent.
Flawed assumptions around competence/capacity.
An account of children's well-being that accommodates children's interests during the transition to adulthood.
儿科环境中的同意概念复杂且令人困惑。临床医生和研究人员想知道他们应该获得谁的同意，当孩子可以提供独立同意时，以及如何确定这一点。本文的目的是确定是什么产生了对涉及儿童的医疗或研究干预措施的正当理由，以及同意在其中的作用。我澄清了同意、同意、能力和能力等概念。
文献综述。
让儿童参与并让他们参与影响他们的事务的决策是一件好事。
能力或能力的作用以及何时孩子可以提供唯一同意的问题。
围绕能力/能力的错误假设。
在向成年过渡期间，考虑到儿童利益的儿童福祉的说明。
