INFORMED CONSENT BETWEEN BIOETHICAL THEORY AND MEDICAL PRACTICE: A CALL FOR ACTIVE VULNERABILITY

Marija Selak

DOI Number
-
First page
171
Last page
179

Abstract


The emancipation of bioethics from new medical ethics is a result of the awakening of the role and the rights of patients. Thus, the appearance and realization of informed consent can be seen as an example of the mode in which the contemporary attitude towards medical practice has developed, starting from paternalism and ending in recent attempts for the establishment of a dialogue. Nevertheless, a more detailed analysis of the informed consent practice, with emphasis on the situation in Croatia, shows that this progress is more theoretical, and less related to everyday procedures with patients – encounters with physicians. In view of this, in his PhD thesis “Respecting Patients' Right to Information Regarding Medical Procedure during Hospital Treatment in Croatia” Luka Vučemilo shows that during their stay in hospitals patients do not fully realize their right to be informed. In this paper, we will emphasize the asymmetry in the physician’s and the patient’s perception of informed consent and its formal self-sufficiency. This will serve as confirmation of the fact that informing for the purpose of giving consent to particular medical treatment is not being implemented properly. In order to try to understand the problems concerning the realization of informed consent, in the conclusion of the paper, the same as in the beginning, in order to observe its appearance, we will once again attempt to extend our context and take into consideration the contemporary world-historical situation.


Full Text:

PDF

References


Babić-Bosanac, S., Borovečki, A., Fišter, K. (2008). Patients’ Rights in the Republic of Croatia – between the Law and Reality, Medicinski glasnik, Vol. 5, No. 1, 2008, pp. 37–43.

Čović, A. (2011). Pojmovna razgraničenja: moral, etika, medicinska etika, bioetika, integrativna bioetika (Conceptual Demarcations: Morals, Ethics, Medical Ethics, Bioethics, Integrative Bioethics). In Čović, A., Radonić, M. (eds.), Bioetika i dijete. Moralne dileme u pedijatriji, Pergamena, Hrvatsko društvo za preventivnu i socijalnu pedijatriju, Zagreb, 2011, pp. 11–24.

Frković, A. (2006). Bioetika u kliničkoj praksi (Bioethics in Clinical Practice), Pergamena, Zagreb, 2006.

Gosić, N. (2005). Bioetika in vivo (Bioethics in vivo), Pergamena, Zagreb, 2005.

Ingelfinger, F. J. (1992). Informed (but Uneducated) Consent. In Munson, R. (ed.), Intervention and Reflection: Basic Issues in Medical Ethics, Wadsworth Publishing Company, Belmont, 1992, pp. 355–357.

Jonas, H. (1984). The Imperative of Responsibility, University of Chicago Press, Chicago.

Jukić, M., Kozina, S., Kardum, G., Hogg, R., Kvolik, S. (2011). Physicians Overestimate Patient's Knowledge of the Process of Informed Consent: A Cross-Sectional Study, Medicinski glasnik, Vol. 8, No. 1, 2011, pp. 39–45.

Löwith, K. (1949). Meaning in History: The Theological Implications of the Philosophy of History, The University of Chicago Press, Chicago.

Matulić, T. (2001). Bioetika (Bioethics), Glas Koncila, Zagreb.

Mill, J. S. (2003). On Liberty. In Kuhse, H., Singer, P. (eds.), Bioethics: An Anthology, Blackwell Publishing, Malden et al., 2003, pp. 515–516.

Renaut, A. (2015). Kraj autoriteta (The End of Authority), TIM press, Zagreb.

Selak, M. (2013). Ljudska priroda i nova epoha (Human Nature and New Epoch), Naklada Breza, Zagreb.

Selak, M. (2017). Ima li kraja (liječničkom) autoritetu? (Is /Physician’s/ Authority Unlimited?), Liječničke novine, Vol. 17, No. 156, February 2017, p. 93.

Sorta Bilajac, I. (2010). Informirani pristanak u UNESCO-vim bioetičkim dokumentima (Informed Consent in UNESCO's Bioethical Documents), Jahr, Vol. 1, No. 1, 2010, pp. 86–94.

Veatch, R. M. (2003). Abandoning Informed Consent. In: Kuhse, H., Singer, P. (eds.), Bioethics: An Anthology, Blackwell Publishing, Malden et al., 2003, pp. 523–532.

Vučemilo, L. (2015). Uvažavanje prava bolesnika na obaviještenost o medicinskom postupku tijekom bolničkoga liječenja u Hrvatskoj (Respecting Patients' Right to Information regarding the Medical Procedure during Hospital Treatment in Croatia), PhD dissertation, Medical School, University of Zagreb.

Young, R. (2004). Informed Consent and Patient Autonomy. In Kuhse, H., Singer, P. (eds.), A Companion to Bioethics, Blackwell Publishing, Malden et al., 2004, pp. 441–451.

Zagorac, I., Jurić, H. (2008). Bioetika u Hrvatskoj (Bioethics in Croatia), Filozofska istraživanja, Vol. 28, No. 3, 2008, pp. 601–611


Refbacks

  • There are currently no refbacks.


ISSN 1450-5517 (Print)
ISSN 2406-1786 (Online)