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Books > Medicine > General issues > Medical ethics
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Informed Consent - Patient Autonomy and Physician Beneficence within Clinical Medicine (Hardcover, 1993 ed.)
Loot Price: R3,129
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Informed Consent - Patient Autonomy and Physician Beneficence within Clinical Medicine (Hardcover, 1993 ed.)
Series: Clinical Medical Ethics, 4
Expected to ship within 10 - 15 working days
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Substantial efforts have recently been made to reform the
physician-patient relationship, particularly toward replacing the
`silent world of doctor and patient' with informed patient
participation in medical decision-making. This 'new ethos of
patient autonomy' has especially insisted on the routine provision
of informed consent for all medical interventions. Stronly
supported by most bioethicists and the law, as well as more popular
writings and expectations, it still seems clear that informed
consent has, at best, been received in a lukewarm fashion by most
clinicians, many simply rejecting what they commonly refer to as
the `myth of informed consent'. The purpose of this book is to
defuse this seemingly intractable controversy by offering an
efficient and effective operational model of informed consent. This
goal is pursued first by reviewing and evaluating, in detail, the
agendas, arguments, and supporting materials of its proponents and
detractors. A comprehensive review of empirical studies of informed
consent is provided, as well as a detailed reflection on the common
clinician experience with attempts at informed consent and the
exercise of autonomy by patients. In the end, informed consent is
recast as a management tool for pursuing clinically and ethically
important goods and values that any clinician should see as
meriting pursuit. Concurrently, the model incorporates a flexible,
anticipatory approach that recognizes that no static, generic
ritual can legitimately pursue the quite variable goods and values
that may be at stake with different patients in different
situations. Finally, efficiency of provision is addressed by not
pursuing the unattainable and ancillary. Throughout, the
traditional principle of beneficence is appealed to toward
articulating an operational model of informed consent as an
intervention that is likely to change outcomes at the bedside for
the better.
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