【违反患者教育责任。】启示与展望]。

Langenbecks Archiv fur Chirurgie Pub Date : 1997-01-01
G D Giebel, H Troidl
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引用次数: 0

摘要

在司法和医学领域,特定的条件需要适当的干预,这反过来可能导致规范的建立。然而,规范会抵消个性。自由决策的一个必要先决条件是对所有可能性的绝对认识。因此,内科医生/外科医生也有义务在手术前告知患者所有相关信息,使患者能够做出决定,同意或拒绝手术。这一信息传递过程有时会在一方或双方失败。治疗错误通常根据科学的医疗实践进行分类。在“违反信息病人义务”的案件中,最终决定权在法官手中。由于司法判决的不可预见性,患者与外科医生之间的沟通变得标准化,医生往往变得防御性,导致信息变得更加广泛,涵盖了所有可能的情况。手术不能保证一定成功。患者的选择性感知是不可避免的,对医患关系的信任有利于患者的康复。因此,我们应该努力使术前医生和病人之间的谈话合法化。
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[Violation of patient education responsibility. Implications and outlook].

In both jurisdiction and medical science, given conditions require appropriate intervention, which may in turn result in norms being created. Norms, however, counteract individuality. An essential prerequisite for free decision--making is an absolute awareness of all possibilities available. Therefore the physician/surgeon too, is obliged to impart all relevant information to the patient prior to an operation to enable the patient to reach a decision, either to agree to or refuse the operation. This process of information transfer may sometimes fail on one or both sides. Treatment errors are usually classified according to scientific medical practice. In the case of "breach to duty in information patient" the final decision is the judges. As judicial decisions are not foreseeable, the communication between patient and surgeon thus becomes standardized and doctors tend to become defensive, resulting in the information becoming even more extensive covering all possible situations. There is no guarantee of success in surgery. Selective perception on the part of the patient is unavoidable and confidence in the relationship between patient and surgeon is beneficial to the patient's rehabilitation. Therefore, we should strive to decriminalize the preoperative talk held between surgeon and patient.

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