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尊重患者自主性原则及其实践方式知情同意的临床伦理分析

谢静,  李姝,  朱玲,  张抒扬

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文章导航 > 协和医学杂志  > 2022 >  13(1): 147-151
谢静, 李姝, 朱玲, 张抒扬. 尊重患者自主性原则及其实践方式知情同意的临床伦理分析[J]. 协和医学杂志, 2022, 13(1): 147-151. doi: 10.12290/xhyxzz.2021-0007
引用本文: 谢静, 李姝, 朱玲, 张抒扬. 尊重患者自主性原则及其实践方式知情同意的临床伦理分析[J]. 协和医学杂志, 2022, 13(1): 147-151. doi: 10.12290/xhyxzz.2021-0007
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XIE Jing, LI Shu, ZHU Ling, ZHANG Shuyang. Autonomy of Patients and Informed Consent in Clinical Practice[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(1): 147-151. doi: 10.12290/xhyxzz.2021-0007
Citation: XIE Jing, LI Shu, ZHU Ling, ZHANG Shuyang. Autonomy of Patients and Informed Consent in Clinical Practice[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(1): 147-151. doi: 10.12290/xhyxzz.2021-0007
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尊重患者自主性原则及其实践方式知情同意的临床伦理分析

doi: 10.12290/xhyxzz.2021-0007
  • 1.

    中国医学科学院北京协和医院感染内科，北京 100730

  • 2.

    北京大学第三医院急诊科, 北京 100191

  • 3.

    中国医学科学院北京协和医院法律事务办公室，北京 100730

  • 4.

    中国医学科学院北京协和医院心内科，北京 100730

详细信息
    通讯作者:

    张抒扬, E-mail: shuyangzhang103@163.com

  • 中图分类号: R-052

Autonomy of Patients and Informed Consent in Clinical Practice

  • 1.

    Department of Infectious Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Emergency Medicine, Peking University Third Hospital, Beijing 100191, China

  • 3.

    Department of Legal Affairs, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 4.

    Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information

    摘要
  • 摘要: 法律及伦理层面对医疗知情同意的要求日益严格，本文从伦理学角度剖析尊重患者自主性和医疗知情同意原则，以期为临床实践和临床伦理学相关研究和教学提供参考。首先分析尊重患者自主性的伦理学概念，在此基础上论述知情同意是落实尊重患者自主性原则的实践应用，梳理国内外关于医疗知情同意原则的确立历史和目前公认的知情同意实施过程，并由此得出如下结论：临床医疗知情同意存在共识尚待完善、培训不足、规范形成落后于新技术应用等挑战，未来应加强培训、开展相关研究并形成指南/共识，以帮助医务工作者在临床诊疗中更好地实施知情同意。
    Abstract: This article addresses the ethical issues of respect for autonomy and informed consent, focusing on how clinicians should deal with these concepts in clinical practice. We first clarify the concept of respect for autonomy and its practical application, as well as informed consent. We then track the origin and development of informed consent both in western countries and in China. Followed by describing several challenges that limit the practice of informed consent, we make our suggestions so as to help clinicians handle the informed consent in daily practice.
    作者贡献：谢静负责资料收集、撰写、修订论文；李姝、朱玲提出修改意见；张抒扬提出选题思路并审核论文。
    利益冲突：所有作者均声明不存在利益冲突
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    • 参考文献(23)
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出版历程
  • 收稿日期:  2021-01-04
  • 录用日期:  2021-01-29
  • 网络出版日期:  2021-11-01
  • 刊出日期:  2022-01-30

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