Accountability, trust and informed consent in medical practice and research.
نویسنده
چکیده
During the last 25 years public policy in the UK has aimed to replace 'club' cultures and their supposedly suspect reliance on trust between professionals and public with a new public culture based on accountability and 'transparency'. These transformations have changed both clinical practice and public health policy in deep ways. Are the new conceptions of accountability adequate? Are obligations to be 'transparent' any more than requirements to disclose information which overlook the need for genuine communication? Can demands for ever fuller informed consent improve accountability to individual patients and research subjects? Could we devise more intelligent conceptions of accountability that support more intelligent placing and refusal of trust? What might intelligent conceptions of accountability suggest about proper clinical practice, public health medicine and professional responsibilities?
منابع مشابه
Why is informed consent important?
INFORMED CONSENT AND TRUST: EYAL’S ARGUMENT In our feature article, Nir Eyal attacks attempts by bioethicists including Onora O’Neill, Torbjörn Tännsjö, and Jennifer Jackson to ground the importance of informed consent in its role in safeguarding trust in medical practice (see page 437, Editor’s choice). The trustpromotion argument for informed consent, as Eyal terms it, states (1) that trust i...
متن کاملرضایت آگاهانه
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The therapeutic misconception has been seen as presenting an ethical problem because failure to distinguish the aims of research participation from those receiving ordinary treatment may seriously undermine the informed consent of research subjects. Hence, most theoretical and empirical work on the problems of the therapeutic misconception has been directed to evaluate whether, and to what degr...
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ورودعنوان ژورنال:
- Clinical medicine
دوره 4 3 شماره
صفحات -
تاریخ انتشار 2004