Ricci Giovanna, Gibelli Filippo, Bailo Paolo, Caraffa Anna Maria, Nittari Giulio, Sirignano Ascanio
Section of Legal Medicine, School of Law, University of Camerino, 62032 Camerino, Italy.
Telemedicine and Telepharmacy Centre, School of Medicinal and Health Products Sciences, University of Camerino, 62032 Camerino, Italy.
Healthcare (Basel). 2023 May 15;11(10):1430. doi: 10.3390/healthcare11101430.
The fundamental importance of informed consent as a prerequisite for the lawfulness of the medical act is an indisputable cornerstone of clinical practice. However, the provision of effective information and the collection of informed consent presents important critical issues in the underage patient, even considering that in general terms he or she does not have the power to directly express consent, which must be provided by parents or legal guardians. These critical issues are amplified in the context of telemedicine. The present study aims, through a scoping review of the literature of the past 10 years, to outline the operational practices adopted in the collection of informed consent from children in the context of telemedicine and to identify solutions devised to address the critical issues related to the provision of adequate information to the child in this particular care setting. The results of the research show that the activity of delivering adequate information to the child, itself complex, is made even more complex by the particular setting of telemedicine, which, however, could be effectively exploited to facilitate communication with the child patient.
知情同意作为医疗行为合法性的先决条件，其根本重要性是临床实践中无可争议的基石。然而，即使一般而言未成年人没有直接表达同意的能力，必须由父母或法定监护人提供同意，但在未成年患者中，提供有效信息和获取知情同意仍存在重要的关键问题。在远程医疗背景下，这些关键问题更加突出。本研究旨在通过对过去10年的文献进行范围综述，概述在远程医疗背景下从儿童获取知情同意时所采用的操作方法，并确定为解决在这种特殊护理环境中向儿童提供充分信息相关的关键问题而设计的解决方案。研究结果表明，向儿童提供充分信息这一本身就复杂的活动，因远程医疗的特殊环境而变得更加复杂，不过，远程医疗也可被有效利用来促进与儿童患者的沟通。
