Informed consent in clinical practice: Old problems, new challenges.
J R Coll Physicians Edinb
; 54(2): 153-158, 2024 Jun.
Article
en En
| MEDLINE
| ID: mdl-38616290
ABSTRACT
Informed consent is a fundamental tenet of patient-centred clinical practice as it upholds the ethical principle of patient autonomy and promotes shared decision-making. In the medicolegal realm, failure to meet the accepted standards of consent can be considered as medical negligence which has both legal and professional implications. In general, valid consent requires three core components (1) the presence of mental capacity - characterised by the patient's ability to comprehend, retain information, weigh options and communicate the decision, (2) adequate information disclosure - based on the 'reasonable physician' or 'reasonable patient' standards and (3) voluntariness in decision-making. Nonetheless, in real-world clinical settings, informed consent is not always optimally achieved, due to various patient, contextual and systemic factors. In this article, I herein discuss three major challenges to informed consent in clinical practice (1) patient literacy and sociocultural factors, (2) psychiatric illnesses and elderly patients with cognitive impairment and (3) artificial intelligence in clinical care, and sought to offer practical mitigating strategies to address these barriers.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Consentimiento Informado
Límite:
Humans
Idioma:
En
Revista:
J R Coll Physicians Edinb
Asunto de la revista:
EDUCACAO
/
HISTORIA DA MEDICINA
/
MEDICINA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Singapur