对成年人医疗的充分知情同意:马拉维的法律和伦理观点。

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Eva Maria Mfutso Bengo, Adamson Muula, Joseph Mfutso Bengo
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引用次数: 0

摘要

本特别来文讨论了马拉维成年人对医疗知情同意的现行法律和道德要求。它分析了外科手术刑事特权等专业纪律的法律和道德规范的范围,并阐明了在不充分披露的情况下,患者有权根据民法获得赔偿的情况。法律中的不一致和不确定是显而易见的。它评估了英联邦其他司法管辖区(例如蒙哥马利的情况)的披露标准在何种程度上适用于马拉维这样一个以资源短缺、文盲率高和社区主义文化背景为特点的国家的保健环境。医患沟通对非洲文化来说并不陌生,也是充分知情同意的一部分。为了平衡对卫生保健提供效率的需要、对优质护理的问责、公平和有效的医患沟通,作者建议,如果同时引入个案基础上的繁重工作量辩护,则只采用合理的病人测试。这并不能免除机构保健提供者在其能力范围内的组织尽职调查的需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Sufficient informed consent to medical treatment of adults: legal and ethical perspectives from Malawi.

Sufficient informed consent to medical treatment of adults: legal and ethical perspectives from Malawi.

This special communication discusses the current legal and ethical requirements for informed consent to medical treatment of adults in Malawi. It analyzes the scope of the laws and code of ethics on professional discipline, including criminal privilege for surgeries and clarifies when insufficient disclosures entitle patients to compensation under civil law. Inconsistencies and uncertainties in the law are made apparent. It evaluates to which degree disclosure standards of other Commonwealth jurisdictions (e.g. the case of Montgomery) would be suitable for the health care setting of a country like Malawi that is characterized by shortages of resources, high illiteracy rates and a communitarian cultural context. Doctor-patient communication is not alien to African culture and part of sufficient informed consent. In order to balance the need for efficiency in health care delivery, accountability for quality care, fairness and effective patient-doctor communication the authors suggest to adopt the reasonable patient test only, if a defence of heavy workload on case-to-case basis is introduced at the same time. This does not dispense the need for organisational diligence on part of the institutional health care provider within its capacity.

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来源期刊
Malawi Medical Journal
Malawi Medical Journal Medicine-General Medicine
CiteScore
1.50
自引率
0.00%
发文量
27
审稿时长
>12 weeks
期刊介绍: Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders
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