概率和知情同意。

IF 1.1 3区 哲学 Q3 ETHICS Theoretical Medicine and Bioethics Pub Date : 2023-12-01 Epub Date: 2023-08-08 DOI:10.1007/s11017-023-09636-0
Nir Ben-Moshe, Benjamin A Levinstein, Jonathan Livengood
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引用次数: 0

摘要

在本文中,我们说明了一些严重的困难,涉及传达有关不确定风险的信息,并确保知情同意的风险干预在临床设置。我们认为,为了确保医疗干预的知情同意,医生通常需要做的不仅仅是报告一个简单的数字概率值。在给出概率的情况下,确保知情同意通常需要沟通如何解释概率表达式,并就所报告概率的证据的质量和数量进行沟通。患者可能还需要关于概率声明是否与他们的决定相关的指导,医生应该准备好帮助患者理解这些问题。
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Probability and informed consent.

In this paper, we illustrate some serious difficulties involved in conveying information about uncertain risks and securing informed consent for risky interventions in a clinical setting. We argue that in order to secure informed consent for a medical intervention, physicians often need to do more than report a bare, numerical probability value. When probabilities are given, securing informed consent generally requires communicating how probability expressions are to be interpreted and communicating something about the quality and quantity of the evidence for the probabilities reported. Patients may also require guidance on how probability claims may or may not be relevant to their decisions, and physicians should be ready to help patients understand these issues.

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来源期刊
CiteScore
1.80
自引率
14.30%
发文量
43
期刊介绍: AIMS & SCOPE Theoretical Medicine and Bioethics examines clinical judgment and reasoning, medical concepts such as health and disease, the philosophical basis of medical science, and the philosophical ethics of health care and biomedical research Theoretical Medicine and Bioethics is an international forum for interdisciplinary studies in the ethics of health care and in the philosophy and methodology of medical practice and biomedical research. Coverage in the philosophy of medicine includes the theoretical examination of clinical judgment and decision making; theories of health promotion and preventive care; the problems of medical language and knowledge acquisition; theory formation in medicine; analysis of the structure and dynamics of medical hypotheses and theories; discussion and clarification of basic medical concepts and issues; medical application of advanced methods in the philosophy of science, and the interplay between medicine and other scientific or social institutions. Coverage of ethics includes both clinical and research ethics, with an emphasis on underlying ethical theory rather than institutional or governmental policy analysis. All philosophical methods and orientations receive equal consideration. The journal pays particular attention to developing new methods and tools for analysis and understanding of the conceptual and ethical presuppositions of the medical sciences and health care processes. Theoretical Medicine and Bioethics publishes original scholarly articles, occasional special issues on important topics, and book reviews. Related subjects » Applied Ethics & Social Responsibility – Bioethics – Ethics – Epistemology & Philosophy of Science – Medical Ethics – Medicine – Philosophy – Philosophy of Medicine – Surgery
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