Goldberg R J
J Clin Oncol. 1984 Aug;2(8):948-55. doi: 10.1200/JCO.1984.2.8.948.
Clinicians are regularly faced with decisions regarding disclosure of information to cancer patients. Many of these decisions constitute a dilemma between the physician's paternalistic concern for the patient and the patient's right to know as much as possible. This paper reviews changes in the attitudes of physicians over the last several decades, elaborates on the problems that confront the clinician in the process of disclosure, and reviews the available data concerning the documented impact on the patient from receiving or not receiving information. The arguments both supporting and challenging the paternalistic view are discussed, and the necessity for viewing the disclosure of clinical information as a clinical process is offered.
临床医生经常面临向癌症患者披露信息的决策。其中许多决策构成了医生家长式地关心患者与患者尽可能多地了解信息的权利之间的两难境地。本文回顾了过去几十年医生态度的变化，阐述了临床医生在披露过程中面临的问题，并回顾了有关已记录的信息披露与否对患者影响的现有数据。讨论了支持和质疑家长式观点的论据，并提出了将临床信息披露视为一个临床过程的必要性。
