de los Reyes López M, Iñíguez Romo A, Goicolea de Oro A, Funes López B, Castro Beiras A
Comité de Consentimientos Informados, Sociedad Española de Cardiología, Caídos de la División Azul, Madrid.
Rev Esp Cardiol. 1998 Oct;51(10):782-96.
In the last thirty years, the clinical relationship between physicians and patients has been rather modified. There are several factors that have contributed to this change: a) New ways to execute medical practises, specially referred to the development of new techniques; b) Cultural changes in our western society, mainly in the mediterranean area, where there has been progress in the recognition of patients' autonomy to decide about their own lives, health and their own bodies; c) The increasing number of lawsuits, complaints and judgements about the problems that clinical information involves, particularly the informed consent in clinical practise. We consider it necessary to make an extensive and deep discussion from all of the areas in Medicine and Law, to analyze the different ethical and legal parts of the informed consent. For that reason the Spanish Society of Cardiology offers their members a basic document in order to reflect about these facts, developing arguments, justifications and supports. This document has also considered models, conditions to their applicability according to Spanish law, and the experience we have had. Finally, there is a list of diagnostic procedures and interventional practises in cardiology that might be preceded by a written informed consent document. We considered them by the name of Spanish Society of Cardiology recommendations.
在过去三十年中，医生与患者之间的临床关系发生了相当大的变化。有几个因素促成了这种变化：a）实施医疗实践的新方式，特别是新技术的发展；b）我们西方社会的文化变迁，主要是在地中海地区，在承认患者自主决定自己的生活、健康和身体方面取得了进展；c）关于临床信息所涉及问题的诉讼、投诉和判决数量不断增加，特别是临床实践中的知情同意问题。我们认为有必要从医学和法律的所有领域进行广泛而深入的讨论，以分析知情同意的不同伦理和法律部分。因此，西班牙心脏病学会为其成员提供了一份基础文件，以便对这些事实进行思考，展开论证、提供理由和支持。本文件还考虑了模型、根据西班牙法律其适用性的条件以及我们所拥有的经验。最后，列出了心脏病学中可能需要书面知情同意文件的诊断程序和介入性实践清单。我们将它们命名为西班牙心脏病学会建议。
