Informed consent: patient autonomy and clinician beneficence within health care
Wear develops an efficient and flexible model of informed consent that accommodates both clinical realities and legal and ethical imperatives. In this second edition, he has expanded his examination of the larger process within which informed consent takes place and his discussion of the clinician&#...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Washington, D.C.
Georgetown Univ. Press
1998
|
| Ausgabe: | 2. ed. |
| Schriftenreihe: | Clinical medical ethics
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | Wear develops an efficient and flexible model of informed consent that accommodates both clinical realities and legal and ethical imperatives. In this second edition, he has expanded his examination of the larger process within which informed consent takes place and his discussion of the clinician's need for a wide range of discretion. |
| Beschreibung: | XIV, 200 S. |
| ISBN: | 0878407065 9780878407064 |
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Datensatz im Suchindex
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| adam_text | Contents
Preface to the Second Edition ix
Acknowledgments xiii
Notice xiv
Introduction 1
Part I
The Sources of a Model of Informed Consent 7
1 The Legal Doctrine of Informed Consent 9
THE GOALS AND SOURCES OF THE LEGAL DOCTRINE OF
INFORMED CONSENT 10
ELEMENTS OF THE LEGAL DOCTRINE 14
SUMMARY 24
2 The New Ethos of Patient Autonomy 29
EARLY CONCERNS ABOUT PATIENT AUTONOMY 30
A REPLY FROM THE PATERNALIST 32
PATIENTS AND PHYSICIANS AS MORAL STRANGERS 35
FREEDOM IN HEALTH CARE 38
THIS IS ALL VERY WELL AND GOOD, BUT ... 46
RETROSPECT AND PROSPECT 47
3 The Clinical Experience of Patient Autonomy and
Informed Consent 49
CLINICIAN PERSPECTIVES ON PATIENT AUTONOMY AND
INFORMED CONSENT 50
EMPIRICAL STUDIES OF INFORMED CONSENT 52
DIMINISHED COMPETENCE 56
EXTERNAL BARRIERS TO PATIENT AUTONOMY AND
INFORMED CONSENT 60
SUMMARY REMARKS 63
vii
viii Contents
4 The Potential Benefits of Informed Consent 66
THE VALUE OF PATIENT PARTICIPATION IN MEDICAL
DECISION MAKING 67
GOODS AND VALUES THAT INFORMED CONSENT MIGHT CAPTURE 72
RETROSPECT AND PROSPECT 76
Part II
A Model of Informed Consent 79
5 Toward a Model of Informed Consent—Theoretical and
Programmatic Considerations 81
THEORETICAL CONSIDERATIONS AND COMMITMENTS 85
THE BASIC STRUCTURE OF THE MODEL ADVOCATED IN THIS WORK 91
6 The Informed Consent Event 100
STAGE I: THE COMPREHENSIVE DISCLOSURE 101
STAGE II: THE CORE DISCLOSURE 116
STAGE III: ASSESSMENT, CLARIFICATION, AND PATIENT CHOICE 122
RETROSPECT AND PROSPECT 124
7 The Issue of Competence 126
THE STANDARD OF PRACTICE REGARDING COMPETENCE:
AN EMERGING CONSENSUS 128
COMPETENCE AS BOTH STATUS AND CAPACITY 132
TRIGGERING THE COMPETENCY ASSESSMENT 137
PERFORMING THE COMPETENCY ASSESSMENT 142
SUMMARY REMARKS 152
8 Exceptions to Informed Consent 156
THE EMERGENCY EXCEPTION 156
THE WAIVER EXCEPTION 162
THE THERAPEUTIC PRIVILEGE EXCEPTION 166
SUMMARY REMARKS 169
9 Concluding Remarks 171
THE BASIC ARGUMENT OF THIS WORK 171
THE CLINICIAN S DISCRETION 174
TALKING TO PATIENTS 178
References and Suggested Readings 181
Index 197
|
| adam_txt |
Contents
Preface to the Second Edition ix
Acknowledgments xiii
Notice xiv
Introduction 1
Part I
The Sources of a Model of Informed Consent 7
1 The Legal Doctrine of Informed Consent 9
THE GOALS AND SOURCES OF THE LEGAL DOCTRINE OF
INFORMED CONSENT 10
ELEMENTS OF THE LEGAL DOCTRINE 14
SUMMARY 24
2 The New Ethos of Patient Autonomy 29
EARLY CONCERNS ABOUT PATIENT AUTONOMY 30
A REPLY FROM THE PATERNALIST 32
PATIENTS AND PHYSICIANS AS MORAL STRANGERS 35
FREEDOM IN HEALTH CARE 38
THIS IS ALL VERY WELL AND GOOD, BUT . 46
RETROSPECT AND PROSPECT 47
3 The Clinical Experience of Patient Autonomy and
Informed Consent 49
CLINICIAN PERSPECTIVES ON PATIENT AUTONOMY AND
INFORMED CONSENT 50
EMPIRICAL STUDIES OF INFORMED CONSENT 52
DIMINISHED COMPETENCE 56
EXTERNAL BARRIERS TO PATIENT AUTONOMY AND
INFORMED CONSENT 60
SUMMARY REMARKS 63
vii
viii Contents
4 The Potential Benefits of Informed Consent 66
THE VALUE OF PATIENT PARTICIPATION IN MEDICAL
DECISION MAKING 67
GOODS AND VALUES THAT INFORMED CONSENT MIGHT CAPTURE 72
RETROSPECT AND PROSPECT 76
Part II
A Model of Informed Consent 79
5 Toward a Model of Informed Consent—Theoretical and
Programmatic Considerations 81
THEORETICAL CONSIDERATIONS AND COMMITMENTS 85
THE BASIC STRUCTURE OF THE MODEL ADVOCATED IN THIS WORK 91
6 The Informed Consent Event 100
STAGE I: THE COMPREHENSIVE DISCLOSURE 101
STAGE II: THE CORE DISCLOSURE 116
STAGE III: ASSESSMENT, CLARIFICATION, AND PATIENT CHOICE 122
RETROSPECT AND PROSPECT 124
7 The Issue of Competence 126
THE STANDARD OF PRACTICE REGARDING COMPETENCE:
AN EMERGING CONSENSUS 128
COMPETENCE AS BOTH STATUS AND CAPACITY 132
TRIGGERING THE COMPETENCY ASSESSMENT 137
PERFORMING THE COMPETENCY ASSESSMENT 142
SUMMARY REMARKS 152
8 Exceptions to Informed Consent 156
THE EMERGENCY EXCEPTION 156
THE WAIVER EXCEPTION 162
THE THERAPEUTIC PRIVILEGE EXCEPTION 166
SUMMARY REMARKS 169
9 Concluding Remarks 171
THE BASIC ARGUMENT OF THIS WORK 171
THE CLINICIAN'S DISCRETION 174
TALKING TO PATIENTS 178
References and Suggested Readings 181
Index 197 |
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| spelling | Wear, Stephen Verfasser aut Informed consent patient autonomy and clinician beneficence within health care Stephen Wear 2. ed. Washington, D.C. Georgetown Univ. Press 1998 XIV, 200 S. txt rdacontent n rdamedia nc rdacarrier Clinical medical ethics Wear develops an efficient and flexible model of informed consent that accommodates both clinical realities and legal and ethical imperatives. In this second edition, he has expanded his examination of the larger process within which informed consent takes place and his discussion of the clinician's need for a wide range of discretion. Consentement éclairé (Droit médical) Éthique médicale Ethics, Medical Informed Consent Informed consent (Medical law) Medical ethics Patient Participation Physician-Patient Relations Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf Ärztliche Aufklärungspflicht (DE-588)4000604-9 gnd rswk-swf Arzt (DE-588)4003157-3 gnd rswk-swf Selbstbestimmung (DE-588)4135889-2 gnd rswk-swf Entscheidung (DE-588)4014904-3 gnd rswk-swf Patient (DE-588)4044903-8 gnd rswk-swf Arzt (DE-588)4003157-3 s Entscheidung (DE-588)4014904-3 s Patient (DE-588)4044903-8 s Selbstbestimmung (DE-588)4135889-2 s DE-604 Ärztliche Aufklärungspflicht (DE-588)4000604-9 s Medizinische Ethik (DE-588)4074672-0 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016802064&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Wear, Stephen Informed consent patient autonomy and clinician beneficence within health care Consentement éclairé (Droit médical) Éthique médicale Ethics, Medical Informed Consent Informed consent (Medical law) Medical ethics Patient Participation Physician-Patient Relations Medizinische Ethik (DE-588)4074672-0 gnd Ärztliche Aufklärungspflicht (DE-588)4000604-9 gnd Arzt (DE-588)4003157-3 gnd Selbstbestimmung (DE-588)4135889-2 gnd Entscheidung (DE-588)4014904-3 gnd Patient (DE-588)4044903-8 gnd |
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| title | Informed consent patient autonomy and clinician beneficence within health care |
| title_auth | Informed consent patient autonomy and clinician beneficence within health care |
| title_exact_search | Informed consent patient autonomy and clinician beneficence within health care |
| title_exact_search_txtP | Informed consent patient autonomy and clinician beneficence within health care |
| title_full | Informed consent patient autonomy and clinician beneficence within health care Stephen Wear |
| title_fullStr | Informed consent patient autonomy and clinician beneficence within health care Stephen Wear |
| title_full_unstemmed | Informed consent patient autonomy and clinician beneficence within health care Stephen Wear |
| title_short | Informed consent |
| title_sort | informed consent patient autonomy and clinician beneficence within health care |
| title_sub | patient autonomy and clinician beneficence within health care |
| topic | Consentement éclairé (Droit médical) Éthique médicale Ethics, Medical Informed Consent Informed consent (Medical law) Medical ethics Patient Participation Physician-Patient Relations Medizinische Ethik (DE-588)4074672-0 gnd Ärztliche Aufklärungspflicht (DE-588)4000604-9 gnd Arzt (DE-588)4003157-3 gnd Selbstbestimmung (DE-588)4135889-2 gnd Entscheidung (DE-588)4014904-3 gnd Patient (DE-588)4044903-8 gnd |
| topic_facet | Consentement éclairé (Droit médical) Éthique médicale Ethics, Medical Informed Consent Informed consent (Medical law) Medical ethics Patient Participation Physician-Patient Relations Medizinische Ethik Ärztliche Aufklärungspflicht Arzt Selbstbestimmung Entscheidung Patient |
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