Document Detail


Trouble in the Gap: A Bioethical and Sociological Analysis of Informed Consent for High-Risk Medical Procedures.
MedLine Citation:
PMID:  23288440     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Concerns are frequently raised about the extent to which formal consent procedures actually lead to "informed" consent. As part of a study of consent to high-risk medical procedures, we analyzed in-depth interviews with 16 health care professionals working in bone-marrow transplantation in Sydney, Australia. We find that these professionals recognize and act on their responsibility to inform and educate patients and that they expect patients to reciprocate these efforts by demonstrably engaging in the education process. This expectation is largely implicit, however, and when it is not met, this can give rise to trouble that can have adverse consequences for patients, physicians, and relationships within the clinic. We revisit the concept of the sick role to formalize this new role expectation, and we argue that "informed" consent is a process that is usually incomplete, despite trappings and assumptions that help to create the illusion of completeness.
Authors:
Christopher F C Jordens; Kathleen Montgomery; Rowena Forsyth
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-4
Journal Detail:
Title:  Journal of bioethical inquiry     Volume:  -     ISSN:  1176-7529     ISO Abbreviation:  J Bioeth Inq     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101250741     Medline TA:  J Bioeth Inq     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Centre for Values, Ethics and the Law in Medicine, The University of Sydney, Level 1, Building 1, Medical Foundation Building (K25), Sydney, NSW, 2006, Australia, chris.jordens@sydney.edu.au.
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