From informed consent to shared decision-making
نویسندگان
چکیده
منابع مشابه
Rethinking informed consent: the case for shared medical decision-making.
In law, with rare exception such as legislative action, change is evolutionary and methodical. Unlike biomedical science where a breakthrough can quickly lead to dramatic changes in medical practice, legal precedent is more adherent and must evolve either through the legislative process or on a court by court basis in case law. Nevertheless, compelling evidence will pave the road to change with...
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A 9-year-old with cerebral palsy received an injection of the neurotoxin “Botox” to relieve muscle spasms. This off-label use was legal but not approved by the US Food and Drug Administration (FDA) for this indication. People with headaches have also received Botox injections as a legal, but unapproved, treatment—in this case the FDA is investigating whether the manufacturer actually promoted t...
متن کاملThe New Era of Informed Consent: Getting to a Reasonable-Patient Standard Through Shared Decision Making.
Therightsofpatientstobeinformedaboutcaredecisions in clinical practice is yet again under scrutiny, both in the United States and around the world. The well-ingrained ethical-legalprocessof informedconsent, so fundamental to patient autonomy—or the patient’s right to selfdetermination—was the subject of a 2015 UK Supreme Courtcase (MontgomeryvLanarkshireHealthBoard).1 In that case, a woman with...
متن کاملStatistical illiteracy undermines informed shared decision making.
Shared decision making relies on the exchange of information between the physician and the patient and the involvement of both patient and physician in making the decision. Informed shared decision making thus requires that patients and doctors understand the benefits and harms of different treatment options. This, however, is severely undermined by what we call collective statistical illiterac...
متن کاملWhen patient-centred care is worth doing well: informed consent or shared decision-making.
High quality care is patient-centred. Efforts to promote patient-centred care in clinical practice should improve quality. Both shared decision-making (SDM) and the process of obtaining informed consent could be expressions of patient-centred care—to the extent that they respond to the advocates’ call for ‘nothing about me without me’. In this issue of BMJ Quality and Safety, Shahu et al discus...
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ژورنال
عنوان ژورنال: South African Medical Journal
سال: 2014
ISSN: 2078-5135
DOI: 10.7196/samj.8287