Informed Consent

Patient Autonomy and Physician Beneficence within Clinical Medicine
1993
ISBN: 978-0-7923-2029-6
Verlag: Springer Netherlands

Buch, Englisch, Band 4, 169 Seiten, Format (B × H): 160 mm x 241 mm, Gewicht: 453 g

Reihe: Clinical Medical Ethics

Substantial efforts have recently been made to reform the physician-patient relationship, particularly toward replacing the `silent world of doctor and patient' with informed patient participation in medical decision-making. This 'new ethos of patient autonomy' has especially insisted on the routine provision of informed consent for all medical interventions. Stronly supported by most bioethicists and the law, as well as more popular writings and expectations, it still seems clear that informed consent has, at best, been received in a lukewarm fashion by most clinicians, many simply rejecting what they commonly refer to as the `myth of informed consent'.
The purpose of this book is to defuse this seemingly intractable controversy by offering an efficient and effective operational model of informed consent. This goal is pursued first by reviewing and evaluating, in detail, the agendas, arguments, and supporting materials of its proponents and detractors. A comprehensive review of empirical studies of informed consent is provided, as well as a detailed reflection on the common clinician experience with attempts at informed consent and the exercise of autonomy by patients.
In the end, informed consent is recast as a management tool for pursuing clinically and ethically important goods and values that any clinician should see as meriting pursuit. Concurrently, the model incorporates a flexible, anticipatory approach that recognizes that no static, generic ritual can legitimately pursue the quite variable goods and values that may be at stake with different patients in different situations. Finally, efficiency of provision is addressed by not pursuing the unattainable and ancillary. Throughout, the traditional principle of beneficence is appealed to toward articulating an operational model of informed consent as an intervention that is likely to change outcomes at the bedside for the better.

Zielgruppe

Research

Autoren/Hrsg.

Wear, S.

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizinische Ethik
• Rechtswissenschaften Öffentliches Recht Medizin- und Gesundheitsrecht
• Geisteswissenschaften Philosophie Angewandte Ethik & Soziale Verantwortung Medizinische Ethik
• Geisteswissenschaften Philosophie Ethik, Moralphilosophie

Inhaltsverzeichnis

I: The Sources of a Model of Informed Consent.- One: The Legal Doctrine of Informed Consent.- Two: The New Ethos of Patient Autonomy.- Three: The Clinical Experience of Patient Autonomy and Informed Consent.- Four: The Potential Benefits of Informed Consent.- II: A Model of Informed Consent.- Five: Toward a Model of Informed Consent — Theoretical and Programmatic Considerations.- Six: The Informed Consent Event.- Seven: The Issue of Competence.- Eight: Exceptions to Informed Consent.- Nine: The Enterprise of Informed Consent.