Document Detail

Barriers to informed consent.
MedLine Citation:
PMID:  6625386     Owner:  NLM     Status:  MEDLINE    
The law of informed consent seeks to actively involve patients in decision making. Most authorities agree that this involvement has not occurred but disagree about why. Some suggest that patients are incapable of understanding medical issues and others that physicians have not explained issues clearly or extensively enough. We observed decision making in several hospital settings and found other significant barriers to patient participation. These barriers include the fact that treatment decisions take place over a long period; there are often many decisions to be made; although patients want information about treatment, they typically believe that decision making is the physician's task; physicians do not understand the rationale for the patient's role in decisions; and the medical decision-making process often involves so many people that the patient does not know who is responsible.
C W Lidz; A Meisel; M Osterweis; J L Holden; J H Marx; M R Munetz
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Annals of internal medicine     Volume:  99     ISSN:  0003-4819     ISO Abbreviation:  Ann. Intern. Med.     Publication Date:  1983 Oct 
Date Detail:
Created Date:  1983-11-23     Completed Date:  1983-11-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372351     Medline TA:  Ann Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  539-43     Citation Subset:  AIM; E; IM    
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MeSH Terms
Decision Making*
Ethics, Medical
Informed Consent* / legislation & jurisprudence
Middle Aged
Patient Acceptance of Health Care
Patient Compliance
Physician-Patient Relations*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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