Muhm M, Berzlanovich A, Hellwagner K, Hiesmayr M, Bauer G
Abteilung für Herz-, Thorax-, Gefässchirurgische Anästhesie und Intensivmedizin, Universität Wien, Osterreich.
Wien Klin Wochenschr. 1998 Apr 10;110(7):266-71.
Informed consent is currently an ethical, medical and legal requirement. An increase in public discussion of real or supposed malpractice has led to critical attitude in patients and increased demands on informed consent by the courts. Unfortunately, the legal requirements of informed consent have developed from atypical situations involving dissatisfied and injured patients rather than from the more usual occurrences of physicians helping patients with subsequent patient satisfaction. In addition, laws have not set forth clear guidelines for physicians to follow. We review the elements of informed consent based on current Austrian and German jurisdiction in the particular field of anesthesiology and summarize the legal and medical realities in order to point out specific criteria for decision making.
目前,知情同意是一项伦理、医学和法律要求。公众对实际或疑似医疗事故的讨论增多,导致患者持批判态度,法院对知情同意的要求也有所提高。不幸的是,知情同意的法律要求是从涉及不满和受伤患者的非典型情况发展而来的,而不是源于医生帮助患者后患者通常感到满意的更常见情况。此外,法律并未为医生制定明确的遵循准则。我们根据奥地利和德国目前在麻醉学特定领域的管辖权来审视知情同意的要素,并总结法律和医学现实,以便指出决策的具体标准。