Malavaud B
Service d'Urologie et de Transplantation Rénale, CHU Toulouse-Purpan, France.
Prog Urol. 1998 Apr;8(2):188-92.
Medical procedures are performed in the context of a contract between the physician and the patient. Failure to comply with this contract may engage the physician's responsibility. For a long time, the physician's responsibility was engaged because of technical errors or, more rarely, lack of information or consent, which had to be proved by the patient. In the case of litigation, a recent decision by the Court of Appeal (25 February 1997) requires physicians to demonstrate that they have effectively and validly informed the patient. This article studies the content of this information. It suggests a method which, set up under the authority of scientific societies, would allow, in our discipline, the proposal of information forms designed to inform our patients and to preserve our responsibility. Finally, this approach is illustrated by the study of tolerability of materials containing silicone.
医疗程序是在医生与患者之间的合同框架内进行的。不遵守该合同可能会使医生承担责任。长期以来,医生因技术失误,或更罕见的信息不足或未经同意而承担责任,而这必须由患者证明。在诉讼案件中,上诉法院最近的一项裁决(1997年2月25日)要求医生证明他们已有效地、合法地告知了患者。本文研究了该信息的内容。它提出了一种在科学协会的权威下设立的方法,在我们这个学科中,该方法将允许提出旨在告知患者并维护我们责任的信息表。最后,通过对含硅材料耐受性的研究来说明这种方法。