Loock W, Martius G, Potthoff P
Geburtshilfe Frauenheilkd. 1981 Sep;41(9):591-6. doi: 10.1055/s-2008-1036949.
Legislation prescribes the doctor's obligation to inform the patient of his situation and prospects before performing an operation. This obligation is of a mandatory character, the only exception being that the patient's life and health should not be seriously jeopardized by such information. The present study was based on questioning 100 woman patients, and it is evident therefrom that such an obligation places too much of a burden on the patient who is unable to cope with the information the doctor is compelled to give. In fact, our results show that frequently patients wish not only to be informed in a factual manner but also expect and desire an optimistic approach to be mediated by the doctor. Hence it appears important to pass on relevant information to the patient in a manner adapted to his personality traits and character. The article demonstrates a model for pre-operative information of this kind to be given to gynaecological patients, and it is shown how justified it is if the doctor demands a wider scope for using his own discretion and judgment in his talks with patients in respect of the information to be given to the patients. Information given by a doctor mainly with the object in mind to legally protect himself against any possible legal consequences, cannot be reconciled with the predominantly altruistic goals of the medical profession.
立法规定医生在进行手术前有义务告知患者其病情和预后。这项义务具有强制性,唯一的例外是此类信息不应严重危及患者的生命和健康。本研究基于对100名女性患者的询问,由此可见,这项义务给无法应对医生不得不提供的信息的患者带来了太大负担。事实上,我们的研究结果表明,患者不仅常常希望得到如实告知,还期望并渴望医生能传达一种乐观的态度。因此,以适合患者个性特点的方式向其传递相关信息显得尤为重要。本文展示了一种向妇科患者提供此类术前信息的模式,并且说明了医生在与患者交谈时,在提供信息方面要求有更广泛的自由裁量权和判断力是多么合理。医生主要为了在法律上保护自己免受任何可能的法律后果而提供的信息,与医疗行业主要的利他目标是无法协调一致的。