Etchells E, Sharpe G, Walsh P, Williams J R, Singer P A
University of Toronto Joint Centre for Bioethics, Department of Medicine.
CMAJ. 1996 Jul 15;155(2):177-80.
Patients are entitled to make decisions about their medical care and to be given relevant information on which to base such decisions. The physicians obligation to obtain the patient's consent to treatment is grounded in the ethical principles of patient autonomy and respect for persons and is affirmed by Canadian law and professional policy. A large body of research supports the view that the process of obtaining consent can improve patient satisfaction and compliance and, ultimately, health outcomes. An exception to the requirement to obtain consent is the emergency treatment of incapable persons, provided there is no reason to believe that the treatment would be contrary to the person's wishes if he or she were capable.
患者有权对自己的医疗护理做出决定,并获得相关信息以作为此类决定的依据。医生有义务获得患者对治疗的同意,这基于患者自主和尊重人的伦理原则,并得到加拿大法律和专业政策的确认。大量研究支持这样一种观点,即获得同意的过程可以提高患者满意度和依从性,并最终改善健康结果。获得同意要求的一个例外情况是对无行为能力者进行紧急治疗,前提是没有理由相信如果该人有行为能力,该治疗会违背其意愿。