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知情同意:对患者反应的重新评估

Informed consent, a reappraisal of patients' reactions.

作者信息

Rosenberg S H

出版信息

Calif Med. 1973 Nov;119(5):64-8.

Abstract

In response to the November 1972 ruling of the California Supreme Court requiring complete, detailed disclosure of risks for procedures and treatments, a survey was made of the reactions of one hundred patients to this decision. A fictional man was described with a clinical diagnosis of brain tumor, and then the procedure for cerebral angiography and all of that procedure's potential complications were described. The majority of the patients surveyed responded that this complete disclosure of risks helped them in making an intelligent decision about giving consent for the procedure. However, 50 percent of these patients would have withheld consent for the procedure on learning of the complications. Although physicians would have reacted differently, it is certainly the patients' right to make the choices they did.

摘要

为回应1972年11月加利福尼亚最高法院要求对手术和治疗的风险进行完整、详细披露的裁决,对100名患者对该决定的反应进行了一项调查。描述了一个临床诊断为脑肿瘤的虚构男子,然后介绍了脑血管造影的程序以及该程序所有可能的并发症。接受调查的大多数患者表示,这种对风险的完整披露有助于他们明智地决定是否同意进行该手术。然而,这些患者中有50%在得知并发症后会拒绝同意进行该手术。尽管医生的反应可能会有所不同,但患者做出他们所做的选择当然是他们的权利。

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