© 2004 BMJ Publishing Group Ltd & Institute for Healthcare Improvement
COMMENTARY
Informed consent
Informed consent: dont throw out the moral baby with the critical bath water
Correspondence to:
Correspondence to:
Professor L Doyal
Department of Medical Ethics, Queen Mary, University of London, London E1 2AD, UK; l.doyal@qmul.ac.uk
Informed consent is one of the most important bricks in the edifice of "right" medical treatment, but low standards must be recognised and corrected
Keywords: patient consent; doctor-patient relationship; patients views; informed consent
| The first 150 words of the full text of this article appear below. |
It is well over two decades since Ian Kennedy published "Unmasking Medicine" based on his Reith lectures.1 He launched an inspired attack on medical paternalism in the UK which in many important respects has now been wonat least in principle. Clinical practice is now expected to embody the duty both to protect life and health and to respect individual autonomythe right of competent patients to make informed choices about their medical options. Indeed, it is now both legally and professionally clear that, when these two duties are in conflict, the latter trumps the former. Ultimately, the competent adult patient has the final say about whether or not to accept or reject proposed treatment, even when refusing may mean death.
There is now a well articulated body of statute and case law designed to reinforce the right of patients to consent to or refuse treatment on the
Relevant Article
- Womens accounts of consenting to surgery: is consent a quality problem?
- M Habiba, C Jackson, A Akkad, S Kenyon, and M Dixon-Woods
Qual. Saf. Health Care 2004 13: 422-427.[Abstract] [Full Text] [PDF]
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