回复:请问autonomy在医学研究中是什么意思?
In a medical context, respect for a patient's autonomy is considered a fundamental ethical principle. This belief is the central premise of the concept of informed consent and shared decision making. This idea, while considered essential to today's practice of medicine, was developed in the last 50 years. According to Beauchamp and Childress (in Principles of Biomedical Ethics), the Nuremberg trials detailed accounts of horrifyingly exploitative medical "experiments." These incidences prompted calls for safeguards in medical research. In the 1940s, the phrase "informed consent" appeared but didn't become widely used until the 1970s. Initially, discussions about informed consent focused almost exclusively on research subjects, but eventually has come to apply to the conventional physician-patient relationship as well. The seven elements of informed consent (as defined by Beauchamp) include threshold elements (Competence and Voluntariness), information elements (Disclosure, Recommendation, and Understanding) and consent elements (Decision and Authorization).
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• oh, thanks. -小谋- ♀ (0 bytes) () 03/27/2010 postreply 17:13:00