增强知情同意的专业意识:保障患者和从业者的权利。

IF 1.4 4区 医学 Q4 CLINICAL NEUROLOGY
Journal of Korean Neurosurgical Society Pub Date : 2024-11-01 Epub Date: 2024-09-30 DOI:10.3340/jkns.2024.0121
Min Ji Kim
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引用次数: 0

摘要

知情同意是医患之间的一个重要沟通过程,目的是在开始治疗前征得患者的同意。它源于医疗合同的法律原则,要求医生向患者解释治疗过程。外科医生应了解知情同意,这不仅是为了避免不必要的诉讼风险,也是为了让患者享有自我决定的权利。本研究旨在帮助韩国外科医生了解知情同意的法律理论,以便实际应用。本文根据 4W1H(为什么、谁、做什么、什么时候、怎么做)回顾了知情同意的法律理论,并结合司法案例,以便在临床环境中与患者进行有效沟通。无论资历或级别如何,医生都可以向有能力的患者提供信息,以保护他们的自决权。应提前告知患者知情同意,让患者考虑、与重要他人讨论并决定是否接受治疗。在这一阶段,病人需要被告知治疗的必要性、风险等。最常见的知情同意方法是口头解释,并利用某些表格进行记录。不过,在某些情况下,患者的知情同意可以免除。最佳的知情同意一旦实施,就会带来以患者为中心的护理,从而大大提高患者的满意度和治疗效果。最终,它不仅能保护医生免受诉讼风险,还能维护患者的自主权。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing Professional Awareness of Informed Consent : Safeguarding the Rights of Patients and Practitioners.

Informed consent is a crucial communication process between doctors and patients for obtaining patients' approval before initiating medical treatment. It is derived from the legal principles of medical contracts and requires doctors to explain the treatment process to patients. Surgeons should be aware of informed consent not only to avoid unnecessary litigation risks but also to provide patients with the right to self-determination. The aim of the study is to help surgeons in Korea understand the legal doctrine on informed consent for practical application. This article reviews the legal doctrine of informed consent according to 5W1H-why, who, whom, what, when, and how-with judicial cases to communicate effectively with patients in clinical settings. Irrespective of the seniority and rank of a doctor, they have the responsibility to provide patients with the information required to protect their right to self-determination. Informed consent should be advanced for patients to consider, discuss with significant others, and determine whether or not to undergo medical treatment. At that stage, patients need to be informed of the necessity, risks, and so on. The most common method of informed consent is an oral explanation utilizing certain forms for documentation. However, the informed consent of patients can be exempted on certain occasions. Optimal informed consent, when implemented, leads to patient-centered care, which significantly improves patient satisfaction and outcomes. Ultimately, it not only protects doctors from litigation risks but also upholds patients' autonomy.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
109
审稿时长
3-8 weeks
期刊介绍: The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.
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