Faden R R, Lewis C, Becker C, Faden A I, Freeman J
J Health Polit Policy Law. 1981 Summer;6(2):255-84. doi: 10.1215/03616878-6-2-255.
There is currently substantial disagreement about the kind of information that must be disclosed in obtaining an informed consent. This study examined physicians' interpretations of the demands of two alternative legal standards for disclosure, as well as a third standard intended to capture their normative sense of what should be disclosed to patients. Other factors which might affect disclosure practices of physicians were also studied. The findings raise questions about the extent to which a legal standard for disclosure can have an impact on medical practice; the data suggest that doctors currently disclose what they think patients want to be told. However, it appears that physicians substantially underestimate the amount of information patients wish to receive.
目前,在获取知情同意时必须披露何种信息这一问题上存在很大分歧。本研究考察了医生对两种替代性披露法律标准要求的解读,以及旨在体现他们对应向患者披露内容的规范意识的第三种标准。还研究了可能影响医生披露行为的其他因素。这些发现引发了关于披露法律标准能在多大程度上影响医疗实践的问题;数据表明,医生目前披露的是他们认为患者想被告知的内容。然而,医生似乎大大低估了患者希望获取的信息量。