Kim Min Ji
Healthcare, Legal and Policy Center, Legal Research Institute of Korea University, Seoul, Korea.
J Korean Neurosurg Soc. 2024 Nov;67(6):602-608. doi: 10.3340/jkns.2024.0121. Epub 2024 Sep 30.
Informed consent is a crucial communication process between doctors and patients for obtaining patients' approval before initiating medical treatment. It is derived from the legal principles of medical contracts and requires doctors to explain the treatment process to patients. Surgeons should be aware of informed consent not only to avoid unnecessary litigation risks but also to provide patients with the right to self-determination. The aim of the study is to help surgeons in Korea understand the legal doctrine on informed consent for practical application. This article reviews the legal doctrine of informed consent according to 5W1H-why, who, whom, what, when, and how-with judicial cases to communicate effectively with patients in clinical settings. Irrespective of the seniority and rank of a doctor, they have the responsibility to provide patients with the information required to protect their right to self-determination. Informed consent should be advanced for patients to consider, discuss with significant others, and determine whether or not to undergo medical treatment. At that stage, patients need to be informed of the necessity, risks, and so on. The most common method of informed consent is an oral explanation utilizing certain forms for documentation. However, the informed consent of patients can be exempted on certain occasions. Optimal informed consent, when implemented, leads to patient-centered care, which significantly improves patient satisfaction and outcomes. Ultimately, it not only protects doctors from litigation risks but also upholds patients' autonomy.
知情同意是医生与患者之间的关键沟通程序,目的是在开始医疗治疗前获得患者的批准。它源自医疗合同的法律原则,要求医生向患者解释治疗过程。外科医生应了解知情同意,不仅是为了避免不必要的诉讼风险,也是为了赋予患者自决权。本研究的目的是帮助韩国的外科医生理解知情同意的法律原则以便实际应用。本文根据5W1H(为什么、谁、向谁、什么、何时以及如何)并结合司法案例来回顾知情同意的法律原则,以便在临床环境中与患者进行有效沟通。无论医生的资历和职级如何,他们都有责任向患者提供保护其自决权所需的信息。应提前向患者提供知情同意书,以便他们考虑、与重要他人讨论并决定是否接受治疗。在那个阶段,需要告知患者治疗的必要性、风险等。最常见的知情同意方式是通过使用特定的文件形式进行口头解释。然而,在某些情况下患者的知情同意可以豁免。最佳的知情同意实施后会带来以患者为中心的医疗,这能显著提高患者满意度和治疗效果。最终,它不仅能保护医生免受诉讼风险,还能维护患者的自主权。