[Informed consent].

Asunción López-Sáez, De Lopez, J. Siso Martín
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Abstract

Once the stage of health paternalism, exercised so many times under the pretext of the principle of benevolence, has been overcome, treatment relationships level off, they become symmetrical and balanced and in this climate of a "therapeutic alliance", both parties, the patient and the health professional, have to merge their capabilities and their limitations. The health professional can not impose general character operational methods to follow to a patient nor interventions, even though clinically correct, against a patient's will; but neither does a patient have the right to obtain treatment in accordance with his desires if these are found to be in disagreement with concrete clinical recommendations for the case dealt with according to the health professional's criteria. We can summarize what has just been stated in two basic principles: 1. The health professional is not obliged to follow the requests of a patient if he/she does not consider these clinically appropriate, but in order to follow a different treatment method, the health professional must have the consent of the patient. 2. In any case, if a patient opposes a treatment being applied to him/her, except in the few legally recognized exceptions, the health professional can try to persuade a patient to accept recommended treatment, but never can carry out treatment against the patient's will.
知情同意。
在仁慈原则的借口下多次实行的保健家长主义阶段一旦被克服,治疗关系就会趋于平稳,它们变得对称和平衡,在这种“治疗联盟”的气氛中,双方,病人和保健专业人员,必须融合他们的能力和局限性。卫生专业人员不能强迫病人遵循一般的操作方法或干预措施,即使临床正确,违背病人的意愿;但是,如果发现这些治疗与根据卫生专业人员的标准处理的病例的具体临床建议不一致,病人也无权按照自己的愿望获得治疗。我们可以把刚才所说的归纳为两条基本原则:如果卫生专业人员认为病人的要求在临床上不合适,他/她没有义务遵循这些要求,但为了采用不同的治疗方法,卫生专业人员必须征得病人的同意。2. 在任何情况下,如果病人反对对他/她实施的治疗,除少数法律承认的例外情况外,保健专业人员可以设法说服病人接受建议的治疗,但绝不能违背病人的意愿进行治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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