Fine A
West J Med. 1977 Aug;127(2):158-63.
Informed consent is a legal obligation due from a physician to his patient, an obligation which may not be met by the physician's skillful treatment of his patient. It may only be met by the treating physician obtaining from his patient knowing authorization for carrying out the intended medical procedure. The physician is required to disclose whatever would be material to his patient's decision, including the nature and purpose of the procedure, and the risks and alternatives. The disclosures should be made by the physician to his patient, and not through use of consent forms which are not particular to individual patients. To minimize any subsequent claim by the patient that there was a lack of adequate disclosures, the physician should record in the patient's chart the circumstances of the patient's consent, and should not rely on the patient's unreliable ability to recall those circumstances.
知情同意是医生对患者应尽的法律义务,医生对患者的熟练治疗并不能满足这一义务。只有主治医生从患者那里获得对实施预定医疗程序的知情授权,才能履行这一义务。医生必须向患者披露任何对其决策至关重要的信息,包括程序的性质和目的、风险及替代方案。这些披露应由医生向患者做出,而不是通过使用并非针对个别患者的同意书。为尽量减少患者随后提出的关于披露不充分的任何索赔,医生应在患者病历中记录患者同意的情况,且不应依赖患者不可靠的记忆能力来回忆这些情况。