Magistris F
Wien Klin Wochenschr. 1978 Sep 15;90(17):639-47.
The doctor-patient relationship has undergone considerable changes over recent years. An increase in public discussion of real or supposed malpractice has led to an increasingly critical attitude in patients, who are no longer prepared to accept the doctor's instructions unquestioningly. Every doctor, surgeons in particular, should, therefore, strive to restore a satisfactory relationship with his patient, since this is an essential precondition for ensuring therapeutic success. The doctor is obliged to explain to his patients (or legal spokesman) the risks involved in therapy and give him adequate insight into his condition. Only then can the patient make an adequate decision as to acceptance or refusal of therapy, which is legally binding (written consent in the case of operations). Absolute priority must be given to uninhibited maximum efficiency of the doctor. Legal safety should be of only secondary importance.
近年来,医患关系发生了相当大的变化。公众对实际或疑似医疗事故的讨论增多,导致患者的态度越来越挑剔,他们不再愿意无条件地接受医生的指示。因此,每位医生,尤其是外科医生,都应努力与患者恢复令人满意的关系,因为这是确保治疗成功的基本前提。医生有义务向患者(或其法定代言人)解释治疗中涉及的风险,并让其充分了解自身病情。只有这样,患者才能就是否接受治疗做出充分的决定,而这一决定具有法律约束力(手术情况下需书面同意)。必须绝对优先考虑医生不受限制的最高效率。法律安全应仅具有次要重要性。