Kaufmann C L
Soc Sci Med. 1983;17(21):1657-64. doi: 10.1016/0277-9536(83)90311-8.
Patient consent to medical treatment has been a subject of concern within the United States professional communities for over two decades. This paper traces the development of research literature on patient decision making and informed consent to medical treatment in three fields of research: medicine, law and the social sciences. A general model for stages in the development of scientific specialties is applied as a test for the development of informed consent as a specialty interest in each research field. Results indicate a relatively advanced stage of development within medicine and law. Research in the social science disciplines tend to lag behind in terms of cumulative number of publications. In addition, social science research which is potentially relevant to the ethical and policy issues of consent in medical treatment appears to lack a clear programmatic thrust, with little attention given to the policy implications of the work. In contrast, the medical and legal literatures indicate a direct concern with social policy and reflect attempts on the part of physicians and lawyers to influence the policy making process.
二十多年来，患者对医疗治疗的同意一直是美国专业团体关注的一个问题。本文追溯了医学、法律和社会科学这三个研究领域中关于患者决策和医疗治疗知情同意的研究文献的发展。科学专业发展阶段的一般模型被用作检验知情同意在每个研究领域作为专业兴趣的发展情况。结果表明，医学和法律领域处于相对先进的发展阶段。社会科学学科的研究在出版物累积数量方面往往滞后。此外，与医疗治疗同意的伦理和政策问题潜在相关的社会科学研究似乎缺乏明确的计划重点，很少关注该工作的政策影响。相比之下，医学和法律文献表明直接关注社会政策，并反映了医生和律师试图影响政策制定过程。
