Foster P, Anderson C M
Manchester University.
J Med Ethics. 1998 Jun;24(3):151-7. doi: 10.1136/jme.24.3.151.
The principle of informed consent is now well established within the National Health Service (NHS) in relation to any type of medical treatment. However, this ethical principle appears to be far less well established in relation to medical screening programmes such as Britain's national cervical screening programme. This article will critically examine the case for health care providers vigorously pursuing women to accept an invitation to be screened. It will discuss the type of information which women would need in order to make an informed decision about whether or not to be screened. The lack of such information in current patient leaflets on the "smear test" will then be documented. Finally, the article will explore possible ways of maximising women's autonomy in relation to the cervical screening programme without sacrificing any of its main benefits.
在英国国家医疗服务体系（NHS）中，关于任何类型的医疗治疗，知情同意原则现已确立。然而，在诸如英国国家子宫颈筛查计划这样的医疗筛查项目中，这一伦理原则似乎远未得到确立。本文将批判性地审视医疗保健提供者大力劝说女性接受筛查邀请的情况。它将讨论女性为了就是否接受筛查做出明智决定而需要的信息类型。随后将记录当前关于“涂片检查”的患者宣传册中缺乏此类信息的情况。最后，本文将探讨在不牺牲子宫颈筛查计划主要益处的前提下，最大化女性在该计划中的自主权的可能方法。
