{"title":"儿童与生物伦理:澄清医学和研究环境中的同意和同意。","authors":"Merle Spriggs","doi":"10.1093/bmb/ldac038","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The concept of consent in the pediatric setting is complex and confusing. Clinicians and researchers want to know whose consent they should obtain, when a child can provide independent consent and how that is determined. The aim of this article is to establish what produces the justification to proceed with medical or research interventions involving children and the role of consent in that. I clarify concepts such as consent, assent, capacity and competence.</p><p><strong>Source of data: </strong>Literature review.</p><p><strong>Areas of agreement: </strong>Engaging with children and involving them in decisions about matters that affect them is a good thing.</p><p><strong>Areas of controversy: </strong>The role of competence or capacity and the question of when a child can provide sole consent.</p><p><strong>Growing points: </strong>Flawed assumptions around competence/capacity.</p><p><strong>Areas for developing research: </strong>An account of children's well-being that accommodates children's interests during the transition to adulthood.</p>","PeriodicalId":9280,"journal":{"name":"British medical bulletin","volume":"145 1","pages":"110-119"},"PeriodicalIF":6.7000,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10075240/pdf/","citationCount":"3","resultStr":"{\"title\":\"Children and bioethics: clarifying consent and assent in medical and research settings.\",\"authors\":\"Merle Spriggs\",\"doi\":\"10.1093/bmb/ldac038\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>The concept of consent in the pediatric setting is complex and confusing. Clinicians and researchers want to know whose consent they should obtain, when a child can provide independent consent and how that is determined. The aim of this article is to establish what produces the justification to proceed with medical or research interventions involving children and the role of consent in that. I clarify concepts such as consent, assent, capacity and competence.</p><p><strong>Source of data: </strong>Literature review.</p><p><strong>Areas of agreement: </strong>Engaging with children and involving them in decisions about matters that affect them is a good thing.</p><p><strong>Areas of controversy: </strong>The role of competence or capacity and the question of when a child can provide sole consent.</p><p><strong>Growing points: </strong>Flawed assumptions around competence/capacity.</p><p><strong>Areas for developing research: </strong>An account of children's well-being that accommodates children's interests during the transition to adulthood.</p>\",\"PeriodicalId\":9280,\"journal\":{\"name\":\"British medical bulletin\",\"volume\":\"145 1\",\"pages\":\"110-119\"},\"PeriodicalIF\":6.7000,\"publicationDate\":\"2023-04-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10075240/pdf/\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British medical bulletin\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/bmb/ldac038\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British medical bulletin","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/bmb/ldac038","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
Children and bioethics: clarifying consent and assent in medical and research settings.
Introduction: The concept of consent in the pediatric setting is complex and confusing. Clinicians and researchers want to know whose consent they should obtain, when a child can provide independent consent and how that is determined. The aim of this article is to establish what produces the justification to proceed with medical or research interventions involving children and the role of consent in that. I clarify concepts such as consent, assent, capacity and competence.
Source of data: Literature review.
Areas of agreement: Engaging with children and involving them in decisions about matters that affect them is a good thing.
Areas of controversy: The role of competence or capacity and the question of when a child can provide sole consent.
Growing points: Flawed assumptions around competence/capacity.
Areas for developing research: An account of children's well-being that accommodates children's interests during the transition to adulthood.
期刊介绍：
British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries.
Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.
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