Informed Consent, Shared Decision-Making, and the Ethics Committee  

Oleh:

Horton, Randall ; Brody, Howard

Jenis: Article from Books - E-Book
Dalam koleksi: Guidance for Healthcare Ethics Committees, page 48-54.
Topik: Legal Considerations; Ethical Considerations; Shared Decision-Making; Ethics Committee’s Role
Fulltext: Informed Consent, Shared Decision-Making, and the Ethics Committee.pdf (140.72KB)

Isi artikel

hese cases represent examples of howthe issue of informed consent might be brought before a hospital ethics committee. Most patients and healthcare providers in the United States understand that patients must be told of any treatments they are to receive before the treatments are administered, unless it is impossible to inform them due to unconsciousness or extreme emergency. Both law and customs in the United States consider treatment without the foreknowledge of the patient to be a form of battery. Case 1 illustrates how this general understanding of informed consent can lead to undesirable outcomes. Both patient and provider consider the process of consent to be a matter of legal concern. he providers know they must inform the patient of their intended treatment before providing it, and the patient understands that the signed form ofers some form of legal protection to the providers, even if she overestimates the scope of such legal protection. Had she been given more information about the reasons for the medical recommendation, andanopportunitytoaskquestions,itisverylikelythatthepatientwouldhaveagreedwith the physician’s recommendation for oxytocin. Could this better outcome have been facilitated had both patient and staf thought of informed consent in a way that stressed teamwork and communication, instead of the bald legal concerns only? We will irst review the history and the legal aspects of informed consent, and then dis- cuss the newer concept of “shared decision-making” – healthcare ethics’ attempt to move the concept away from mere legalisms and into a more positive frame of reference useful for clinical practice. Finally, we will discuss howHECs can assist clinicians toward a better understanding of informed consent and shared decision-making.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali