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How Changes in Health Care Practices, Systems, and Research Challenge the Practice of Informed Consent

Bibliographic Data

ID9100246
AuthorsJason Karlawish (0000-0002-6880-2865, corresponding author), Jason H T Karlawish, Ellen Fox (0000-0001-9029-7052, George Washington University), Robert Pearlman, Robert A Pearlman
Year2002
Volume40
IssueSupplement
PagesV-12-V-19
Publication date2002-09-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200209001-00003
OpenAlexW4253828763
LanguageEN
References cited21

Informed consent has been the central model for ethical decision making in clinical care and research. The goal of informed consent is to protect the right of a competent person to make his or her own health care decisions based on personal values and goals. But changes in health care practices, systems, and research have challenged this well-established goal. This paper examines these changes to show that decisions about care and research directed to individual patients rely more and more upon a population perspective. As a result, efforts to promote patient choice should attend to the ethical decision-making processes of institutions that create and sustain this perspective

Alternative medicine · Health care · Informed consent · Perspective (graphical) · Political science · Public relations · Ethics in medical practice · Healthcare cost, quality, practices · Law · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology

  • On the Elicitation of Preferences for Alternative Therapies

    Barbara J Mcneil, Stephen G Pauker et al.•New England Journal of Medicine•1982

  • The Framing of Decisions and the Psychology of Choice

    Open Access•Amos Tversky, Daniel Kahneman•Science•1981

  • Why Doctors Don't Disclose Uncertainty

    Jay Katz•The Hastings Center Report•1984

  • Factors affecting treatment decisions for a life-threatening illness

    Open Access•L A Siminoff, John H Fetting•Social Science & Medicine•1991

Highly citedNo

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