[Diagnostic and treatment processes and the requirement of patient's consent in doctors' opinions]. 2007

Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
Zakład Etyki Akademii Medycznej w Lublinie, Lublin. atras@gazeta.pl

Contemporary medicine, together with the increase in invasiveness into the patient's body, exerts mounting pressure on state institutions and medical chambers aiming at the development of suitable regulations protecting patients against excessive interference with their bodies and psyche, and also allowing for their full autonomy. A gradual shift in the doctors' behaviour from a paternalistic approach towards partnership becomes more apparent. Its purpose is to take shared decisions concerning diagnostic methods and treatment. This process is best noticed when it comes to the issue of taking medical measures after obtaining patient's conscious agreement. The term 'conscious agreement' emerged in the legal terminology fairly late, in 1957, during the lawsuit Salgo vs. Leland Stanford Junior University Board of Trustees. Much later it found its place in the legal regulations concerning everyday medical routines. The fundamental factor of the patient's autonomy and simultaneously a remedy to the risk of patients acting against their own good is the process of obtaining the sick person's conscious agreement prior to anticipated medical measures, both therapeutic and diagnostic. The patient's informed conscious agreement to diagnostic process and treatment is not only the crucial prerequisite of doctor's lawful behaviour but also a significant evaluation criterion with regard to doctor's deeds and intentions. We requested doctors to share their opinion, in the form of an anonymous feedback form, on the issue of obtaining from patients their conscious agreement to diagnostic and therapeutic measures. The survey was carried out among 231 physicians of different specialisations from the Lublin Province and Podkarpackie Province employed both in hospitals, outpatient clinics and in health centres for basic medical care. Almost all the respondents declared the knowledgw of the regulations on the protection of patients' rights; however, only half of the surveyed persons expressed the opinion that the regulations concerning patient's rights refer also to diagnostic examination. Doctors clearly differed with regard to the meaning of the notion of 'giving conscious consent by the patient' and tended to associate such a patient's declaration only with invasive procedures. The survey results allowed us to outline the level of knowledge and the degree of compliance with patient's rights related to the necessity of obtaining conscious consent to medical treatment.

UI MeSH Term Description Entries
D010819 Physician's Role The expected function of a member of the medical profession. Physicians' Role,Physician Role,Physician's Roles,Physicians Role,Physicians' Roles,Role, Physician's,Role, Physicians',Roles, Physician's,Roles, Physicians'
D003933 Diagnosis The determination of the nature of a disease or condition, or the distinguishing of one disease or condition from another. Assessment may be made through physical examination, laboratory tests, or the likes. Computerized programs may be used to enhance the decision-making process. Diagnose,Diagnoses and Examination,Antemortem Diagnosis,Diagnoses and Examinations,Examinations and Diagnoses,Postmortem Diagnosis,Antemortem Diagnoses,Diagnoses,Diagnoses, Antemortem,Diagnoses, Postmortem,Diagnosis, Antemortem,Diagnosis, Postmortem,Examination and Diagnoses,Postmortem Diagnoses
D005104 Expert Testimony Presentation of pertinent data by one with special skill or knowledge representing mastery of a particular subject. Expert Opinion,Expert Witness,Expert Opinions,Expert Testimonies,Expert Witnesses,Opinion, Expert,Testimony, Expert,Witness, Expert,Witnesses, Expert
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013812 Therapeutics Procedures concerned with the remedial treatment or prevention of diseases. Therapy,Treatment,Therapeutic,Therapies,Treatments
D028701 Patient Rights Fundamental claims of patients, as expressed in statutes, declarations, or generally accepted moral principles. (Bioethics Thesaurus) The term is used for discussions of patient rights as a group of many rights, as in a hospital's posting of a list of patient rights. Right to Treatment,Patient's Rights,Patients' Rights,Patient Right,Patient's Right,Patients Rights,Patients' Right,Right to Treatments,Right, Patient,Right, Patient's,Right, Patients',Rights, Patient,Rights, Patient's,Rights, Patients',Treatment, Right to,Treatments, Right to
D032962 Consent Forms Documents describing a medical treatment or research project, including proposed procedures, risks, and alternatives, that are to be signed by an individual, or the individual's proxy, to indicate his/her understanding of the document and a willingness to undergo the treatment or to participate in the research. Consent Documents,Informed Consent Forms,Informed Consent Documents,Consent Document,Consent Document, Informed,Consent Documents, Informed,Consent Form,Document, Informed Consent,Documents, Informed Consent,Informed Consent Document,Informed Consent Form

Related Publications

Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
June 1977, MMW, Munchener medizinische Wochenschrift,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
January 2001, The Journal of the American College of Dentists,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
January 2003, The International journal of oral & maxillofacial implants,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
May 2005, Journal of medical ethics,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
June 1993, Giornale italiano di cardiologia,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
September 1962, The American journal of nursing,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
January 1996, Medical law international,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
January 2014, Harefuah,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
September 1974, JAMA,
Andrzej Atras, and Rafał Patryn, and Krzysztof Marczewski
January 2007, Archiwum medycyny sadowej i kryminologii,
Copied contents to your clipboard!