Sherlock R
Gen Hosp Psychiatry. 1984 Jan;6(1):71-6. doi: 10.1016/0163-8343(84)90062-8.
Psychiatrists working in consultation-liason services are often called upon to assess the competency of patients who are under the primary care of other physicians. Despite the frequency with which this sort of problem is encountered, no clinically useful guidelines seem to exist to aid the clinician in making such an assessment. In fact, a number of very different sorts of "tests" for competency to consent to medical care seem to exist and are used in practice. This essay attempts to make some headway in defining a general set of clinically useful criteria for the determination of competency to consent to medical care. This is done by looking at the central elements of informed consent itself and then asking what capabilities are required by anyone seeking to give consent to medical care.
从事会诊-联络服务的精神科医生经常被要求评估在其他医生初级护理下患者的行为能力。尽管这类问题经常遇到，但似乎不存在有助于临床医生进行此类评估的临床实用指南。事实上，存在一些非常不同类型的同意接受医疗护理行为能力的“测试”并在实践中使用。本文试图在界定一套通用的临床实用标准以确定同意接受医疗护理的行为能力方面取得一些进展。这是通过审视知情同意本身的核心要素，然后询问任何寻求同意接受医疗护理的人需要具备哪些能力来实现的。
