Thèses sur le sujet « Informed consent (Medical law) – Portugal »
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Walker, Nancy L. Hamilton. « The relationship between patient perceptions of informed consent and recall of information received during the informed consent process ». Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/865959.
Texte intégralSchool of Nursing
Barit, Avi. « The doctrine of informed consent in South African medical law ». Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/60104.
Texte intégralMorin, Sophie. « La place des droits du patient à l'intérieur de la conception actuelle de l'obligation de renseigner en matière médicale / ». Thesis, McGill University, 1999. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=30319.
Texte intégralCai, Yinghong. « The legal rights in informed consent form for treatment in China ». View the Table of Contents & ; Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38478730.
Texte intégralLashley, Myrna. « Informed proxy consent : communication between surgeons and surrogates about surgery ». Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=29068.
Texte intégralGibb, Winna. « Informed consent : a liberal perspective ». Thesis, Queensland University of Technology, 1998.
Trouver le texte intégralPease-Carter, Cheyenne Minton Casey Barrio. « Preferences among student counselors regarding informed consent practices within counselor education ». [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-6066.
Texte intégralCai, Yinghong, et 蔡映紅. « The legal rights in informed consent form for treatment in China ». Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B39724347.
Texte intégralPease-Carter, Cheyenne. « Preferences among student counselors regarding informed consent practices within counselor education ». Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc6066/.
Texte intégralKious, Brent Michael. « The evidentiary account of consent's moral significance ». Diss., Restricted to subscribing institutions, 2009. http://proquest.umi.com/pqdweb?did=1930280011&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
Texte intégralKerner, David Neal. « Impact of a decision aid videotape on young women's attitudes and knowledge about hormone replacement therapy / ». Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 1998. http://wwwlib.umi.com/cr/ucsd/fullcit?p9901432.
Texte intégralTomita, Kiyomi. « Informed consent and the right to refuse medical treatment : a comparative study of common-law Canada and Japan ». Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61156.
Texte intégralBourne, Katie. « Determining capacity to consent in people with learning disabilities ». Thesis, n.p, 2000. http://ethos.bl.uk/.
Texte intégralAnthony, John. « The justfiable limitations of patient autonomy in contemporary South African medical practice ». Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/2859.
Texte intégralABSTRACT: The European Enlightenment secured man’s freedom from doctrinal thought. Scientific progress and technological innovation flourished in the 18th Century, radically changing the lives of all. Man’s mastery and transformation of his environment was matched by revolutionary political reform, resulting in the dissolution of empire and the transfer of power into the hands of the people. Social transformation saw the city-states of pre-modern man supplanted by a globalized community whose existence grew from time and space distantiation facilitated by the new technologies and the development of symbolic forms. These sweeping social, political and ideological changes of the 18th Century fostered the belief that man’s transformative authority was indeed his to command. Man believed he had a right to self-governance and to autonomous decision-making. Kant described moral autonomy as the freedom men have to show rational accountability for their actions and he saw in men a dignity beyond all price because of this moral autonomy. Personal autonomy is seen as the expression of the free will of individuals and is justifiably constrained by the need to respect the interests and agency of others. The principle of autonomy, in the context of medical practice, was not clearly articulated until the early 20th century. Prior to this, the ethical practice of medicine relied upon the beneficent intentions of the practitioners. The limits to patient autonomy have been delineated largely by issues of social justice based upon the need to share scarce resources fairly among members of society. However, autonomy remains a dominant principle and is most clearly exemplified by the process of informed consent obtained prior to any medical intervention. This thesis provides a conceptual analysis of autonomy in the context of informed consent. Following this, several different clinical scenarios are examined for evidence of justifiable limitations to patient autonomy. Each scenario is examined in the light of different moral theories including deontology, utilitarianism, communitarianism and principlist ethical reasoning. Kantian ethical reasoning is found to be resilient in rejecting any limitation to the autonomy principle whereas each of the other theories allow greater scope for morally-justified curtailment of individual autonomy. The thesis concludes with reflection on post-modern society in which the radicalization of what began with the European Enlightenment sees the transformation of pre-modern society into a global community in which epistemological certainty is no longer available. In this environment, the emerging emphasis on global responsibility requires ethical accountability, not only when individuals secure transactions between one another but also between individuals and unknown communities of men and women of current and future generations. The thesis concludes that patient autonomy is justifiably limited in South African medical practice because of issues related to social justice but that the impact of the new genetic technologies and post-modernity itself may in future set new limits to individual patient autonomy.
OPSOMMING: Die Europese Verligting het die mensdom bevry van verstarde, dogmatiese denke. Wetenskaplike en tegnologiese ontwikkelinge het tydens the 18de Eeu die lewens van almal radikaal verander. Die mens se bemeestering en transformasie van sy omgewing het gepaard gegaan met revolusionêre politieke hervormings wat gelei het tot die ontbinding van tradisionele politieke ryke en die oordrag van mag aan die mens. Sosiale transformasie het veroorsaak dat die politieke ordeninge van voor-moderne mense deur ‘n globale gemeenskap vervang is wat ontstaan het as gevolg van onder meer die ontkoppeling van tyd en plek (Giddens), en wat deur nuwe tegnologiese ontwikkelings en die ontstaan van simboliese vorms moontlik gemaak is. Hierdie uitgebreide ontwikkelinge het die idee laat ontstaan dat niks vir die 18de Eeuse mens onmoontlik is nie. Die mens het geglo dat hy ‘n reg het op self-bestuur en outonome besluite. Kant het die morele outonomie van die mens beskou as sy vryheid om verantwoordlikheid te neem vir sy eie rasioneel-begronde handelinge en verder het hy ‘n besondere waardigheid in die mens geïdentifiseer vanweë sy morele outonomie. Omdat ‘n mens hierdie eienskap besit, beskik hy oor ‘n hoër waardigheid as alle alle ander lewensvorme. Persoonlike outonomie is die uitoefenimg van die vrye wil van die individu en word om geregverdigde redes beperk deur die regte van ander mense. Die beginsel van outonomie met verwysing na mediese etiek het nie voor die begin van die 20ste eeu prominent geword nie. Voor hierdie tyd het mediese etiek staatgemaak op die goeie voorneme van die praktisyn. Die grense van individuele outonomie word nou bepaal deur die noodsaak van sosiale geregtigheid. Al is dit die geval, bly die beginsel van outonomie die belangrikste beginsel in die etiese debat en word meestal gesien as ‘n deel van die proses van ingeligte toestemming. Hierdie tesis verskaf ‘n omvattende ontleding van outonomie met betrekking tot ingeligte toestemming. Daarna word verskillende kliniese gevalle beskryf en ontleed, en verskeie etiese teorieë gebruik om die wyse waarop pasiënt outonomie reverdigbaar ingekort behoort te word, te bespreek. Die teorie van Kant is in staat om enige inkorting van outonomie in alle gevalle the weerstaan. Elkeen van die ander teorieë verskaf redes waarom die outonomie van individuele pasiënte legitiem ingekort mag word. Hierdie werk sluit af met besinning oor die post-moderne gemeenskap wat ‘n globale samelewing moet aanvaar sowel as die ontoereikenheid van enige kenteoretiese sekerheid. Die ontwikkelende verantwoordelikheid vir die totale mensdom in hierdie wêreld veroorsaak dat individue nie meer slegs moet besluit oor die morele verhouding met sy medemens nie, maar ook oor sy verhouding met mense van gemeenskappe wat geskei is in tyd en ruimte, insluitend sy verhouding met die mense van toekomstige generasies. Hierdie werk sluit af met die gevolgtrekking dat pasiënt outonomie regverdigbaar beperk word in die Suid Afrikaanse mediese praktyk deur die noodsaaklikheid van sosiale geregtigheid. Die verwagte impak van nuwe genetiese tegnologieë en die ontwikkeling van ‘n post-moderne gemeenskap mag nuwe beperkings bring vir pasiënt outonomie.
Kettle, Nancy M. « Informed consent : its origins, purpose, problems, and limits [electronic resource] / by Nancy M. Kettle ». University of South Florida, 2002. http://purl.fcla.edu/fcla/etd/SFE0000041.
Texte intégralDocument formatted into pages; contains 165 pages.
Thesis (M.A.)--University of South Florida, 2002.
Includes bibliographical references.
Text (Electronic thesis) in PDF format.
ABSTRACT: The doctrine of informed consent, defined as respect for autonomy, is the tool used to govern the relationship between physicians and patients. Its framework relies on rights and duties that mark these relationships. The main purpose of informed consent is to promote human rights and dignity. Some researchers claim that informed consent has successfully replaced patients&softsign; historical predispositions to accept physicians' advice without much explicit resistance.
Although the doctrine of informed consent promotes ideals worth pursuing, a successful implementation of these ideals in practice has yet to occur. What has happened in practice is that attorneys, physicians, and hospital administrators often use consent forms mainly to protect physicians and medical facilities from liability. Consequently, ethicists, legal theorists, and physicians need to do much more to explain how human rights and human dignity relate to the practice of medicine and how the professionals can promote them in practice.
This is especially important because patients' vulnerability has increased just as the complexity and power of medical science and technology have increased. Certain health care practices can shed light on the difficulties of implementing the doctrine of informed consent and explain why it is insufficient to protect patients' rights and dignity. Defining a normal biological event as a disease, and routinely prescribing hormone drug therapy to menopausal women for all health conditions related to menopause, does not meet the standards of free informed consent.
Clinicians provide insufficient disclosure about risks related to long-term use of hormone therapies and about the absence of solid evidence to support their bias toward hormone therapies as a treatment of choice for menopause related health conditions. The contributing problem is women's failure to act as autonomous agents because they either choose not to take an active part in their own therapy or because they fear to question physicians' medical authority. To insure that patients' autonomy and free choice are a part of every physician-patient interaction, physicians and patients need actively to promote them as values that are absolutely indispensable in physicians' offices, clinics, and hospitals.
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Mode of access: World Wide Web.
Hicks, Michelle B. « Informed Consent in Obstetric Anesthesia : The Effect of the Amount, Timing and Modality of Information on Patient Satisfaction ». Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9771/.
Texte intégralHicks, Michelle B. Wheeler Maurice B. « Informed consent in obstetric anesthesia the effect of the amount, timing and modality of information on patient satisfaction / ». [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9771.
Texte intégralRossouw, Theresa Marie. « Identity, personhood and power : a critical analysis of the principle of respect for autonomy and the idea of informed consent, and their implementation in an androgynous and multicultural society ». Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/19906.
Texte intégralENGLISH ABSTRACT: Autonomy and informed consent are two interrelated concepts given much prominence in contemporary biomedical discourse. The word autonomy, from the Greek autos (self) and nomos (rule), originally referred to the self-governance of independent Hellenic states, but was extended to individuals during the time of the Enlightenment, most notably through the work of Immanuel Kant and John Stuart Mill. In healthcare, the autonomy model is grounded in the idea of the dignity of persons and the claim people have on each other to privacy, self-direction, the establishment of their own values and life plans based on information and reasoning, and the freedom to act on the results of their contemplation. Autonomy thus finds expression in the ethical and legal requirement of informed consent. Feminists and multiculturalists have however argued that since autonomy rests on the Enlightenment ideals of rationality, objectivity and independence, unconstrained by emotional and spiritual qualities, it serves to isolate the individual and thus fails to rectify the dehumanisation and depersonalisation of modern scientific medical practice. It only serves to exacerbate the problematic power-differential between doctor and patient. Medicine is a unique profession since it operates in a space where religion, morality, metaphysics, science and culture come together. It is a privileged space because health care providers assume responsibility for the care of their patients outside the usual moral space defined by equality and autonomy. Patients necessarily relinquish some of their autonomy and power to experts and autonomy thus cannot account for the moral calling that epitomizes and defines medicine. Recognition of the dependence of patients need not be viewed negatively as a lack of autonomy or incompetence, but could rather reinforce the understanding of our shared human vulnerability and that we are all ultimately patients. There is however no need to abandon the concept of autonomy altogether. A world without autonomy is unconceivable. When we recognise how the concept functions in the modern world as a social construct, we can harness its positive properties to create a new form of identity. We can utilise the possibility of self-stylization embedded in autonomy to fashion ourselves into responsible moral agents that are responsive not only to ourselves, but also to others, whether in our own species or in that of another. Responsible agency depends on mature deliberators that are mindful of the necessary diversity of the moral life and the complex nature of the moral subject. I thus argue that the development of modern individualism should not be rejected altogether, since we cannot return to some pre-modern sense of community, or transcend it altogether in some postmodern deconstruction of the self. We also do not need to search for a different word to supplant the concept of autonomy in moral life. What we rather need is a different attitude of being in the world; an attitude that strives for holism, not only of the self, but also of the moral community. We can only be whole if we acknowledge and embrace our interdependence as social and moral beings, as Homo moralis.
AFRIKAANSE OPSOMMING: Outonomie en ingeligte toestemming is twee nou verwante konsepte wat beide prominensie in moderne bioetiese diskoers verwerf het. Die woord outonomie, van die Grieks autos (self) en nomos (reël), het oorspronklik verwys na die selfbestuur van onafhanklike Griekse state, maar is in die tyd van die Verligting uitgebrei om ook na individue te verwys, grotendeels deur die werk van Immanuel Kant en John Stuart Mill. In medisyne is die outonomie model gegrond op die idee van die waardigheid van die persoon en die beroep wat mense op mekaar het tot privaatheid, selfbepaling, die daarstelling van hulle eie waardesisteem en lewensplan, gebasseer op inligting en redenasie, en die vryheid om op die uitkoms van sulke redenasie te reageer. Outonomie word dus vergestalt in die etiese en wetlike bepaling van ingeligte toestemming. Feministe en multikulturele denkers beweer egter dat, siende outonomie gebasseer is op die Verligting ideale van rasionaliteit, objektiwiteit en onafhanklikheid, sonder die nodige begrensing deur emosionele en spirituele kwaliteite, dit die individu noodsaaklik isoleer en dus nie die dehumanisering en depersonalisering van moderne wetenskaplike mediese praktyk teenwerk nie. As sulks, vererger dit dus die problematiese magsverskil tussen die dokter en pasiënt. Die beroep van medisyne is ‘n unieke professie aangesien dit werksaam is in die sfeer waar geloof, moraliteit, metafisika, wetenskap en kultuur bymekaar kom. Dit is ‘n bevoorregde spasie aangesien gesondheidswerkers verantwoordelikheid vir die sorg van hulle pasiënte aanvaar buite die gewone morele spasie wat deur gelykheid en outonomie gedefinieer word. Pasiënte moet noodgedwonge van hulle outonomie en mag aan deskundiges afstaan en outonomie kan dus nie genoegsaam die morele roeping wat medisyne saamvat en definieer, vasvang nie. Bewustheid van die afhanklikheid van pasiënte hoef egter nie in ‘n negatiewe lig, as gebrek aan outonomie of onbevoegtheid, beskou te word nie, maar moet eerder die begrip van ons gedeelde menslike kwesbaarheid en die wete dat ons almal uiteindelik pasiënte is, versterk. Dit is verder nie nodig om die konsep van outonomie heeltemal te verwerp nie. ‘n Wêreld sonder outonomie is ondenkbaar. Wanneer ons bewus word van hoe die konsep in die moderne wêreld as ‘n sosiale konstruk funksioneer, kan ons die positiewe aspekte daarvan inspan om ‘n nuwe identiteit te bewerkstellig. Ons kan die moontlikheid van self-stilering, ingesluit in outonomie, gebruik om onsself in verantwoordelike morele agente te omskep sodat ons nie slegs teenoor onsself verantwoordelik is nie, maar ook teenoor ander, hetsy in ons eie spesie of in ‘n ander. Verantwoordelike agentskap is afhanklik van volwasse denkers wat gedagtig is aan die noodsaaklike diversiteit van die morele lewe en die komplekse aard van die morele subjek. Ek voer dus aan dat die ontwikkeling van moderne individualisme nie volstrek verwerp moet word nie, siende dat ons nie na ‘n tipe premoderne vorm van gemeenskap kan terugkeer, of dit oortref deur ‘n postmoderne dekonstruksie van die self nie. Ons het verder ook nie ‘n nuwe woord nodig om die konsep van outonomie in die morele lewe mee te vervang nie. Ons het eerder ‘n ander instelling van ons menswees in die wêreld nodig; ‘n instelling wat streef na volkomendheid, nie net van onsself nie, maar ook van die morele gemeenskap. Ons kan slegs volkome wees wanneer ons ons interafhanklikheid as sosiale en morele entiteite, as Homo moralis, erken en aangryp.
Fausset, Cara Bailey. « Comprehension of health risk probabilities : the roles of age, numeracy, format, and mental representation ». Diss., Georgia Institute of Technology, 2012. http://hdl.handle.net/1853/44832.
Texte intégralWenz, Vera. « Forschung mit einwilligungsunfähigen Personen aus der Perspektive des deutschen und englischen Rechts / ». Göttingen : Cuvillier, 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=015040630&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
Texte intégralRadau, Wiltrud Christine. « Die Biomedizinkonvention des Europarates : Humanforschung - Transplantationsmedizin - Genetik - Rechtsanalyse und Rechtsvergleich / ». Berlin [u.a.] : Springer, 2006. http://www.gbv.de/dms/spk/sbb/recht/toc/511240961.pdf.
Texte intégralHutchison, Catherine B. « A randomised controlled trial of an audiovisual patient information intervention in cancer clinical trials ». Thesis, University of Stirling, 2008. http://hdl.handle.net/1893/442.
Texte intégralCarmack, Heather J. « How to Say I'm Sorry : A Study of the Veterans Administration Hospital Association's Apology and Disclosure Program ». Ohio : Ohio University, 2008. http://www.ohiolink.edu/etd/view.cgi?ohiou1209039528.
Texte intégralKelly, Katherine Patterson Ganong Lawrence H. « Stepping up, stepping back, being pushed, and stepping away the process of making treatment decisions for children with cancer by parents who no longer live together / ». Diss., Columbia, Mo. : University of Missouri-Columbia, 2008. http://hdl.handle.net/10355/6867.
Texte intégralLecoq, Nathalie. « Évaluation critique du régime juridique québécois en matière de consentement aux soins pour le majeur inapte ». Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=82662.
Texte intégralGauthier, Isabelle. « Analyse de la norme sociale comme contrainte au consentement : l'exemple de la recherche biomédicale en situation d'urgence ». Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31052.
Texte intégralKruszewski, Zita. « The use of patient-derived tissue in biomedical research ». Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0006/MQ43899.pdf.
Texte intégralFiorillo-Buonomano, Daniela. « Das Zustimmungserfordernis bei der Patentierung von biotechnologischen Erfindungen unter Verwendung menschlichen Materials ». Bern Stämpfli, 2007. http://deposit.d-nb.de/cgi-bin/dokserv?id=3013860&prov=M&dok_var=1&dok_ext=htm.
Texte intégralLe, Roux-Kemp Andra. « A legal perspective on the power imbalances in the doctor-patient relationship ». Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/1330.
Texte intégralENGLISH ABSTRACT: The unique and intimate relationship that exists between a medical practitioner and his/her client is possibly one of the most important relationships that can come into being between any two people. This relationship is characterised and influenced by the qualities and attributes specific to the nature and historical development of medical care, as well as medical science in general. The doctor-patient relationship is also influenced by the social dynamics of a particular community, environmental factors, technological advances and the general social and commercial evolution of the human race. With regard to medical care and health service delivery, the doctor-patient relationship is furthermore vital to the quality of the care provided, as well as to the outcomes and relative success of the specific medical intervention or treatment. One of the distinct characteristics of the doctor-patient relationship is the power imbalance inherent in this relationship. The medical practitioner has expert knowledge and skill, while the patient finds himself or herself in an unusually dependent and vulnerable position. It is because of this important role that the doctor-patient relationship still plays in health service delivery today; the susceptibility of the relationship to a variety of influences, and the characteristic power imbalances inherent in this relationship, that a study of the doctor-patient relationship in South African medical- and health law is necessary. The characteristic power imbalances will be considered from a legal perspective in this dissertation. This study provides a comprehensive source of the doctor-patient relationship from a legal perspective. Where relevant, references are made to theories and principles from other disciplines, including sociology, economy and medical ethnomethodology. The prevalence and consequences of power imbalances in the doctor-patient relationship are identified and discussed with the aim of bringing these to the attention of both the legal fraternity, and medical practitioners. Specific problem areas are identified and solutions are offered, including the following: • The adverse consequences of power imbalances inherent in the doctor-patient relationship on the medical decision-making process are considered from various perspectives. With regard to these adverse consequences, the doctrine of informed consent is analysed and evaluated in great detail. • The influence of paternalistic notions in health service delivery; the business model of health service delivery and the effects of managed care and consumer-directed health care on the doctor-patient relationship and health service delivery in general are also analysed from a legal perspective, and specifically with regard to the power imbalances inherent in this relationship. • The role of autonomy, self-determination and dignity, as well as the principles of beneficence in medical practice, are reconsidered in an attempt to provide a solution for redressing the power imbalances inherent in the doctor-patient relationship. • The fiduciary nature of the doctor-patient relationship and the special role of trust in the relationship are emphasised throughout the dissertation as the focal point of departure in the doctor-patient relationship and the main constituent in any legal endeavor to redress the power imbalances inherent in it.
AFRIKAANS OPSOMMING: Die unieke en intieme verhouding wat bestaan tussen ‘n mediese praktisyn en ‘n pasiënt is wêreldwyd waarskynlik een van die belangrikste verhoudings wat tussen twee persone tot stand kan kom. Hierdie verhouding word gekenmerk en beïnvloed deur kwaliteite en eienskappe eie aan die besonderse aard en historiese ontwikkeling van gesondheidsorg, sowel as die mediese wetenskap in die algemeen. Die dokter-pasiënt verhouding word verder beïnvloed deur die sosiale dinamika van ‘n bepaalde gemeenskap, omgewingsfaktore, tegnologiese vooruitgang en die algemene sosiale en kommersiële ontwikkeling van die mensdom. Op die terrein van gesondheidsorg en mediese dienslewering is die dokter-pasiënt verhouding voorts ook sentraal tot die kwaliteit van die mediese sorg wat verskaf word, sowel as die uitkomste en relatiewe sukses van die spesifieke mediese behandeling. Een van die kenmerkende eienskappe van die dokter-pasiënt verhouding is die magswanbalans wat daar tussen dokter en pasiënt bestaan. Die mediese praktisyn beskik oor deskundige kennis en vaardighede, terwyl die pasiënt hom- of haarself in ‘n ongewone, afhanklike en kwesbare posisie bevind. Dit is dan veral weens die besondere rol wat hierdie verhouding steeds in hedendaagse gesondheidsorg speel, die beïnvloedbaarheid van hierdie verhouding deur ‘n verskeidenheid faktore, sowel as die kenmerkende magswanbalans inherent in die verhouding, dat ‘n ondersoek na die dokter-pasiënt verhouding in die Suid-Afrikaanse mediese reg noodsaaklik is. Hierdie kenmerkende magswanbalans sal vanuit ‘n regsperspektief verder in hierdie proefskrif ondersoek word. Hierdie studie bied ‘n omvattende bron van die dokter-pasiënt verhouding benader vanuit ‘n regsperspektief, terwyl verwysings na teorieë en beginsels van ander dissiplines soos die sosiologie, ekonomie en mediese etnometodologie ook waar nodig ingesluit word. Die voorkoms en gevolge van ‘n magswanbalans in die dokter-pasiënt verhouding word verder geïdentifiseer en bespreek ten einde dit onder die aandag te bring van beide regslui en medici. Spesifieke probleemareas wat geïdentifiseer is en die oplossings wat daarvoor aan die hand gedoen is sluit die volgende in: • Die nadelige gevolge van die bestaan van ‘n magswanbalans in die dokter-pasiënt verhouding op die mediese-besluitnemingsproses word bespreek vanuit verskillende persepktiewe. Met betrekking tot hierdie nadelige gevolge, word die leerstuk van ingeligte toestemming in besonder geanaliseer en geëvalueer. • Die invloed van ‘n paternalistiese benadering tot gesondheidsorg, die besigheids-model van gesondheidsorg, en die effek van bestuurde- en verbruikersgedrewe gesondheidsorg inisiatiewe op die dokter-pasiënt verhouding en die verskaffing van gesondheidsdienste in die algemeen word ook vanuit ‘n regsperspektief ge-analiseer. Spesifieke aandag word in dié verband gegee aan die invloede van hierdie benaderings en perspektiewe op die magswanbalans inherent aan die dokter-pasiënt verhouding. • Die besondere rol van autonomie, selfbeskikking en menswaardigheid, asook die beginsels van weldadigheid in gesondheidsorg, word heroorweeg in ‘n poging om ‘n meer gelyke distribusie van mag in die dokter-pasiënt verhouding te verseker. • Die fidusiêre aard van die dokter-pasiënt verhouding en die besondere rol wat vertroue in hierdie verhouding speel, word in hierdie proefskrif beklemtoon en word voorts as die basis van die dokter-pasiënt verhouding beskou. Vertroue, as ‘n kenmerk van die dokter-pasiënt verhouding, behoort ook die fokuspunt te wees van enige poging om die magswanbalans in die dokter-pasiënt verhouding aan te spreek.
溫靜. « 試論醫方的告知說明義務 = Talk about the obligations to inform the patients ». Thesis, University of Macau, 2009. http://umaclib3.umac.mo/record=b2120094.
Texte intégralLe, Roux Rhonddie. « "Acts of disclosing" : an enthnographic investigation of HIV/AIDS disclosure grounded in the experiences of those living with HIV/AIDS accessing Paarl Hospice House seeking treatment ». Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/16610.
Texte intégralENGLISH ABSTRACT: Paarl, in the Western Cape, has been identified as one of the 15 national sites where antiretroviral treatment (ARVs) would be made available to people living with HIV/AIDS. Paarl Hospice initiated a support group for people to deal with this disease in 2003. Since February 2004 Paarl Hospice has been recruiting people from the surrounding informal settlements for ARVs. By means of participant observation I explored how HIV/AIDS-related disclosure experiences unfolded in places, spaces and events associated with the support group in the context of factors enabling and preventing people from accessing Hospice House. I did this by considering the insights drawn from an anthropological approach. I found the meanings of disclosure in the majority of studies to be limited and restricted. Available studies approached disclosure in a top-down fashion by regarding the definition of disclosure as the announcement of HIV-positivity at the time of diagnosis only. These studies have not considered social differences relating to disclosure neither did they focus on the actual process of disclosure. By means of a constructivist approach to grounded theory I seek to broaden the definition of disclosure to account for the range of ways in which disclosure practices take place. I found that disclosure could not be separated from the situational context in which it occurs and that it can only be understood in relation to the circumstances and relationships in which it takes place. In this study, disclosure was an ongoing process, situated somewhere between active, public announcement of an HIV-status and complete secrecy and somewhere between voluntary and involuntary revealing of the disease.
AFRIKAANSE OPSOMMING: Paarl in die Wes-Kaap is geïdentifiseer as een van die 15 nasionale areas waar antiretrovirale medikasie beskikbaar gestel sou word aan mense wat leef met MIV/VIGS. Paarl Hospice het gedurende 2003 ʼn ondersteuningsgroep geїnisieer om aan MIV/VIGS aandag te gee. Sedert Februarie 2004 is Paarl Hospice in die proses om mense te werf uit die omliggende informele behuisingsgebiede vir antiretrovirale behandeling. Met behulp van antropologiese insigte en deelnemende waarneming kon ek nagaan hoe verskillende maniere van MIV/VIGS-verwante bekendmaking ontvou in plekke, ruimtes en gebeurtenisse wat verband hou met die ondersteuningsgroep. MIV/VIGSverwante bekendmaking is ondersoek te midde van inhiberende en fasiliterende faktore wat mense verhoed of aanhelp om Paarl Hospice te besoek. Ek het bevind dat die definisie van bekendmaking in die meeste navorsing gebrekkig is. Beskikbare navorsing het bekendmaking volgens ‘n bo-na-onder-wyse benader as die openbare bekendmaking van ‘n MIV-status na afloop van diagnose alleenlik. Met behulp van ‘n konstruktiewe benadering van die begronde teorie het ek gepoog om die definisie van bekendmaking uit te bou om sodoende die verskeidenheid maniere waarop bekendmaking plaasvind te akkommodeer. Ek het vasgestel dat bekendmaking onlosmaakbaar deel is van die situasionele konteks waarin dit plaasvind en dat dit slegs begryp kan word in verband tot die verhoudings en omstandighede waarin dit plaasvind. In hierdie studie was bekendmaking ʼn voortdurende proses, gesitueer tussen aktiewe openbare bekendmaking en volledige geheimhouding van ʼn MIVstatus, asook tussen volkome vrywillige en onvrywillige bekendmaking van ʼn MIVstatus.
Mkosi, Barbara Nomsa. « Confidentiality as value in the management of HIV/AIDS in South Africa ». Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51663.
Texte intégralENGLISH ABSTRACT: AIDS is the most important threat to world health. Recent years have seen a dramatic spread of HIVand AIDS in South Africa. Health education directed at modifying risk behaviour appears to be the only way in which the disease can be contained. Controlling AIDS is not only by controlling the virus, but also involves tackling social, economic and political issues and putting AIDS into the broader context of sexuality and gender roles. This requires a broader understanding of this aspect of HIV-AIDS ranging from population dynamics, through to research on individual behaviour and its socio-economic impact; so that we can dispel the myths and rumours that surround AIDS and answer searching questions that will be asked by the community. In South Africa, HIV-AIDS remains a stigmatized disease. There have been calls from courageous and influential people for those who are living with HIV-AIDS to be open about their status and to destigmatise the disease. Institutions too have been drawn into the controversy about whether to remain silent or speak out. Southern African Anglican bishops, as well as some politicians declared their intention to undergo testing for HIV status in order to sensitise the public to the seriousness of the epidemic. Were AIDS not regarded as intolerable, the entire issue of confidentiality would fall away. Calls to destigmatise the disease through openness cannot stand alone. Government must put effective treatment programmes in place. In the absence of treatment, AIDS may represent only frustration and hopelessness to those who test positive; and fear, danger and resultant animosity to those who are HIV negative. The text is in four chapters. Chapter 1 focuses on confidentiality as an important principle in the management of disease. In HIV -AIDS, confidentiality is a more sensitive issue as AIDS is particularly viewed as a social stigma, accompanied by discrimination and harassment. The chapter also addresses HIV infection, transmission, counseling and screemng. Chapter 2 deals with the principles of biomedical ethics namely, autonomy, to enable the patient to determine his/her course of treatment; informed consent, designed to protect the interests of patients from exploitation and harm, and encourage health professionals to act responsibly; beneficence and nonmaleficence, to protect the welfare of others; and justice, to ensure access to health care for all. It also highlights the aspects of and limitations to confidentiality. Chapter 3 discusses broadly the ethical dilemmas pertammg to professional-patient relationships, women and HIV-AIDS, religion, prisoners and employer-employee relationships. When the AIDS epidemic started, very few people suffered from the disease, and the disease was treated with great caution and confidentiality. Today, AIDS is a pandemic and emphasis should shift from the ethic of autonomy and confidentiality, to a social ethic, which emphasizes the responsibility of minimizing the risk of spread of infection. The chapter also examines the role of the Department of Health, the participation of health professional bodies and the legal aspects relating to confidentiality in HIV-AIDS. Chapter 4 attempts to construct an argument to destigmatise HIV-AIDS by arguing the responsibility of the government to make sufficient resources available for the treatment and control of the pandemic. Health professionals are challenged to engage their expertise and skills in the service of the sick with dignity and respect. The community is encouraged to support the drive towards controlling the spread of HIV infection and enable people living with AIDS to disclose their status without fear of harassment.
AFRIKAANSE OPSOMMING: Vigs is die gevaarlikste bedreiging van wéreldgesondheid. Die afgelope paar jaar het 'n dramatiese verspreiding van mv en VIGS in Suid-Afrika plaasgevind. Gesondheidsopvoeding wat gemik is op die verandering van risiko-gedrag is skynbaar die enigste metode wat die siekte kan beheer. Die kontrolering van VIGS is nie net die kontrolering van die virus nie, maar dit betref ook herbesinning oor sosiale, ekonomiese en politiese en geslagsrolle. Dit vereis 'n omvattender verstaan van hierdie aspek van HIV-VIGS, wat strek vanaf van bevolkingspatrone tot by die navorsing oor individuele gedrag en die sosio-ekonomiese impak van 19. So kan ons hopelik help om die mites rondom VIGS te besweer. In Suid-Afrika bly mV-VIGS 'n gestigmatiseerde siekte. Daar rus 'n veranbtwoordelikheid op invloedryke mense wat met mV-VIGS leef en wat as rolmodelle sou kon dien, om hul mv -status te openbaar en sodoeonde te help om die siekte te destigmatiseer. Instansies is ook by hierdie twispunt betrek om vas te stelof die mense moet praat of swyg. Suider-Afrikaanse Anglikaanse Biskoppe, asook somige politici het hulle intensies aangekondig om die mv -toets te ondergaan om sodoende die publiek te help opvoed oor die gevaar van hierdie epidemie. Oproepe om die siekte te destigmatiseer deur openbaarheid kan nie in isolasie funksioneer nie. Die staat moet effektiewe kuratiewe en voorkomingsprogramme hier rondom loods en kontinueer. In die afwesigheid van 'n geneesmiddel, sal VIGS slegs frustrasie, hopeloosheid, en vrees skep by diegene wat positief getoets is, sowel as vyandigheid onder diegene wat nie mv positief is nie. Die teks het vier hoofstukke. Hoofstuk 1 fokus op vertroulikheid as 'n belangrike beginsel in die bestuur van die siekte. In mV-VIGS is vertroulikheid 'n meer sensitiewe beginsel aangesien VIGS in die besonder as 'n sosiale skandvlek, aangevreet deur diskriminasie, gesien word. Die hoofstuk bespreek ook mv -infeksie, transmissie, raadgewing en toetsing. Hoofstuk 2 gaan oor die beginsels van die biomediese etiek, naamlik, outonomie, waaronder ingeligte toetstemming, ontwerp om die belange van die pasiente te beskerm teen eksploitasie en gevaar: om gesondheids professionele aan te moedig om hulle op 'n verantwoordelike manier te gedra. Ander beginsels is goedwilligheid en niekwaadwiligheid om die welsyn van ander te beskerm, asook geregtigheid, om toegang tot gesondheidshulp vir almal te verseker. Dit beklemtoon ook die aspekte verwant aan beperkinge tot vertroulikheid. Hoofstuk 3 bespreek breedweg die etiese dilemmas met betrekking tot die verhouding tussen pasiënye en professionele gesondheidswerkers, vrouens en mV-VIGS, godsdiens, gevangenes en werkgewer-werker verhoudings. Toe die VIGS-epidemie begin het, het min mense aan die siekte gely, en die siekte is met groot sorg en vertroulikheid behandel. Vandag is VIGS 'n pandemie en die klem moet geskuif word vanaf outonomie en vetrouilikheid na 'n sosiale etos wat verantwoordlikheid en die vermindering van die risiko van die verspreiding van die infeksie beklemtoon. Die hoofstuk kyk ook na die rolle van gesondheidsdepartmente, deelname van gesondheids professionele organisasies en die juridiese aspekte met betrekking tot vertroulikheid van HIV-VIGS. Hoofstuk 4 poog om 'n argument te ontwikkel wat daartoe sou kon bydra dat HIV-VIGS gedestigmatiseer sal word. Klem word gelê op die verabtwoordelikheid van die staat om soveel moontlike bronne beskikbaar te stel vir die behandeling van en beheer oor hierdie pandemie. Gesondheids professionele word uitgedaag om hulle deskundigheid en bekwaamheid in die diens van die siekes met waardigheid en respek te gebruik. Die gemeenskap word aangemoedig om die poging tot die beheer van die verspreiding van die HIV -infeksie te ondersteun en om die mense wat met VIGS leef in staat te stelom hul status sonder die dreigement van stigmatisering bekend te maak.
De, Villiers Suzanne. « The principle of respect for autonomy and the sterilization of people with intellectual disabilities ». Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/53148.
Texte intégralENGLISH ABSTRACT: The implementation of eugenic policies reached its peak during the zo" century when thousands of people with intellectual disabilities and other "undesirable qualities" were involuntary sterilized. Although most of the eugenic policies have been removed, countries such as South Africa, still make legally provision for the involuntary sterilization of people with intellectual disabilities. Torbjërn Tannsjë (1998) used the "argument from autonomy" to argue that involuntary sterilization practices are wrong because it involves compulsion. According to him, society should never interfere with people's reproductive choices and people should never be required to qualify for the right to have children. The aim of this assignment was to systematically assess the "argument from autonomy" as far as the policy of involuntary sterilization of people with intellectual disabilities is concerned. To this end, the concept of autonomy and the principle of respect for autonomy are discussed and applied to the intellectually disabled. It is argued that autonomy and respect for autonomy are useful concepts to apply to some people with intellectual disabilities. These individuals should not be automatically assumed to be incompetent, but their competence needs to be determined on an individual level, with reference to the complexity of the decision to be made. Special effort is needed from health care professionals to obtain (where possible) informed consent from people with intellectual disabilities. The application of the principle of respect for autonomy to matters of reproduction leads to the conclusion that people with severe to profound levels of disability, are unable to provide informed consent for sexual intercourse. Therefore some form of paternalistic protection is needed for these individuals. People with mild to moderate intellectual disabilities who are however competent to consent to sexual intercourse should never be prohibited from procreation by means of involuntary sterilization. State interference in matters of reproduction should be limited to interventions where (i) children are seriously harmed by parents and (ii) to protect those who are incompetent to consent to sexual interactions with others. Apart from these exceptions, the intellectually disabled is entitled to the same procreative rights as all other citizens.
AFRIKAANSE OPSOMMING: Die implementering van eugenetiese beleid het gedurende die 20 ste eeu 'n hoogtepunt bereik met die onwillekeurige sterilisering van duisende persone met intellektuele gestremdhede en ander "ongewensde kwaliteite". Alhoewel meeste van die eugenetiese wetgewing verwyder is, maak lande soos Suid-Afrika steeds wetlik voorsiening vir die onwillekeurige sterilisasie van persone met intellektuele gestremdhede. Torbjërn Tannsjo (1998) maak gebruik van die "outonomie argument" om te argumenteer dat onwillekeurige sterilisasie praktyke onaanvaarbaar is omdat dit dwang bevat. Hy voer aan dat die samelewing nooit in die reproduktiewe keuses van mense behoort in te meng nie en dat dit nooit vir mense nodig moet wees om vir ouerskap te kwalifiseer nie. Die doel van hierdie werkstuk was om sistematies die "outonomie argument" te analiseer ten opsigte van die beleid van die onwillekeurige sterilisasie van persone met intellektuele gestremdhede. Met hierdie doel voor oë word die konsep outonomie en die beginsel van respek vir outonomie bespreek en toegepas op die intellektueel gestremde persoon. Daar word aangevoer dat outonomie en respek vir outonomie nuttige beginsels is om in ag te neem in kwessies rakende intellektueel gestremdes. Hierdie individue moet nie outomaties as onbevoeg beskou word nie, maar hul bevoegdheid moet eerder op 'n individuele basis beoordeel word, inaggeneem die kompleksiteit van die besluit wat geneem moet word. Voorts word daar van gesondheidsorgpersoneel verwag om moeite te doen met die verkryging van oorwoê toestemming (waar moontlik) by persone met intellektuele gestremdhede. Die toepassing van die beginsel van respek vir outonomie op aspekte rakende reproduksie, lei tot die gevolgtrekking dat persone met ernstige intellektuele gestremdhede nie in staat is om toestemming tot seksuele omgang te verleen nie. Dus, is 'n vorm van paternalistiese beskerming in hierdie gevalle aangedui. Persone met intellektuele gestremdhede wat egter wel bevoeg is om toestemming tot seksuele omgang te verleen, moet nooit weerhou word van voortplanting deur middel van onwillekeurige sterilisering nie. Inmenging deur die staat in kwessies rakende reproduksie moet beperk word tot intervensies waar (i) kinders ernstige skade berokken word en (ii) die beskerming van persone wat onbevoeg is om toestemming tot seksuele interaksies met ander te verleen, benodig word. Afgesien hiervan, is die intellektuele gestremde persoon geregtig op dieselfde reproduktiewe regte as alle ander landsburgers.
Busquets, Surribas Montserrat. « Autonomía e información en el proceso de atención sanitaria a mujeres con cáncer de mama y hombres con enfermedad coronaria ». Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/404279.
Texte intégralThis thesis analyses the contribution of bioethics in respect to patient autonomy and patient rights to the health care information received. The influence of different ways of understanding autonomy and health care in the forms and contents of information and clinical relationship is discussed. With the objective of researching the experience of the patients, the thesis proposes three questions: what is the meaning and the usefulness of information given by health care professionals? what are the aids or benefits and the difficulties in obtaining and understand this information? what is the information received from patients associations?. 20 extensive interviews and 2 focus groups were performed in which participants were women with breast cancer and men with coronary disease. Both diseases carry bad news, the patients need a big amount of information, they bring up difficult decisions and they imply daily life changes. The results were classified in 3 groups, 9 categories and 27 sub categories. The participants pointed out the utility of the information to understand and give sense to their experience, and underlined its importance to face daily life and the possibility for them to be able to take safe decisions. The participants wanted to receive the information and they participated actively and refused to be replaced by family members. However in general, the information obtained was standardized, focused on the disease and on obtaining informed consent. As positive professional attitudes, patients pointed out aspects such as the availability of the professionals, being listened to, the friendliness and the demonstrated interest. As negative professional attitudes they pointed out manifestations of power, the use of technical language, the professionals not listening to the patient, and not giving information. The participants pointed out the influence of the management on the clinic relation, specifically in the short number of professionals and there mobility. The work raises 7 conclusions: 1. The need to advance in the understanding of relational autonomy. 2. The relevance of veracity as a rule in information. 3. The current low ethical validity of informed consent raises doubts about the obtaining and utility or such consent documents. 4. The need to better understands the role of the patient's family whit an accompaniment role, and not letting them take the decisions for the patient. 5. The importance of professional conduct that demonstrate ethical values and principles. 6. The ethic responsibility of the institutions combining the efficiency of the system with the need of people's help. 7. The reliability of information provided by associations and self-help groups.
Vico, Fernández Gema. « Régimen jurídico del tratamiento forzoso del trastorno psíquico ». Doctoral thesis, Universitat de Barcelona, 2015. http://hdl.handle.net/10803/378028.
Texte intégralThe right to personality and personal freedom are included in involuntary internments. These are not only governed by a fundamental right under Article 17 of the Spanish Constitution, but also by the supreme principle according to our system of social and democratic right. According to the Law 13/1983, effective October 24 of the Reform of the Civil Code regarding matters of guardianship, a system of judicial internment control was established with respect to mere previous administrative checks. The 211 article of the Civil Code reformed by the Organic Law 1/1996, effective January 15 on the Legal Protection of Children, expressly regulated the commitment of minors. The 1/2000 Law of January 7 on civil prosecution repealed, in turn, the 211 article of the Civil Code, and started to regulate the “internment due to psychiatric illness” by Article 763. The Constitutional Court’s ruling 132/2010 declared the unconstitutionality on the part of this precept that enables the decision of involuntary internments due to mental disorder, considering that it is constitutive of a deprivation of liberty, should have been regulated by organic law, as agreed upon in Article 81 of the Constitution, and urges the legislator to regulate this matter by means of organic law. The legal treatment of involuntary interments connects with those of medical treatments made without considering the will of the affected persons. The Constitutional Court considers that the patient’s consent in any event regarding its own person is part of its fundamental right to integrity recognized in Article 15 of the Constitution. The 41/2002 Law, effective November 14 , on basic regulation on the autonomy of the patient and of rights and obligations in matters of information and clinical documentation regulates the informed consent in the Articles 8 and the following, which also covers the cases in which doctors can act without the patient’s consent and those in which the consent is given by the representation in relation to minors and people who does not have the capability to provide it. Article 10.2 of the Constitution establishes that the rules regarding fundamental rights and liberties recognized by the Constitution are interpreted in accordance with the international treaties and agreements thereon ratified by the Spanish State. Among these treaties prevail the 1950 European Convention of human rights and the jurisprudence of the European Court of Human Rights which also interpret them; the 1989 Convention on the Rights of Children; the 1997 Oviedo Treaty, and the 2006 Convention on the Rights of persons with disabilities. According to the applicable law, as well as jurisprudence, the need is stressed to upgrade it in order to adapt it to the Constitution this way fulfilling the requirements the Constitutional Court made in the sentence 132/2010 and that at the same time demands the adaptation of the international agreements signed by the Spanish State.
En els internaments involuntaris s’inclou un dret de la personalitat, la llibertat personal, que rep la consideració no només de dret fonamental a l’article 17 de la Constitució espanyola, sinó també de principi suprem segons el nostre sistema de dret social i democràtic. A partir de la Llei 13/1983, del 24 d’octubre, de Reforma del Codi Civil en matèria de tutela, s’instaurà un sistema de control judicial dels internaments enfront el sistema anterior de mer control administratiu. L’article 211 del Codi Civil reformat per la Llei orgànica 1/1996, del 15 de gener, de protecció jurídica del menor, va regular expressament l’internament dels menors d’edat. La Llei 1/2000 del 7 de gener, de processament civil, va derogar, al seu torn, l’article 211 del Codi Civil, i va passar a regular “l’internament per raó de trastorn psíquic” per l’article 763. La sentència del Tribunal Constitucional 132/2010 va declarar la inconstitucionalitat de la part d’aquest precepte que possibilita la decisió de l’internament no voluntari per raó de trastorn psíquic, ja que, com que és constitutiu d’una privació de llibertat, hauria d’haver estat regulat mitjançant llei orgànica, de conformitat amb el que disposa l’article 81 de la Constitució, i insta el legislador a regular aquesta matèria mitjançant llei orgànica. El tractament jurídic dels internaments involuntaris manté una relació molt estreta amb el dels tractaments mèdics que es fan sense considerar la voluntat de les persones afectades. El Tribunal Constitucional considera que el consentiment del pacient a qualsevol intervenció en la seva persona forma part del seu dret fonamental a la integritat reconegut a l’article 15 de la Constitució. La Llei 41/2002, del 14 de novembre, bàsica, reguladora de l’autonomia del pacient i dels drets i obligacions en matèria d’informació i documentació clínica regula el consentiment informat en els articles 8 i següents, que preveuen també els casos en què els facultatius poden intervenir sense el consentiment del pacient i aquells en què el consentiment s’atorga per representació amb relació als menors d’edat i persones que no tinguin capacitat per prestar-lo. L’article 10.2 de la Constitució estableix que les normes relatives als drets fonamentals i les llibertats que la Constitució reconeix s’han d’interpretar de conformitat amb els tractats i acords internacionals sobre les mateixes matèries que l’Estat espanyol hagi ratificat. Entre aquests tractats destaquen el Conveni europeu de drets humans de 1950 i la jurisprudència del Tribunal Europeu de Drets Humans que també l’interpreta; la Convenció de drets del nen de 1989; el Conveni d’Oviedo de 1997, i la Convenció internacional dels drets de les persones amb discapacitat de 2006. D’acord amb la legislació aplicable, així com amb la jurisprudència, hi destaca la necessitat de reformar-la a fi i efecte d’adequar-la a la Constitució complint així el requeriment que va efectuar el Tribunal Constitucional en la sentència 132/2010 i que al mateix temps exigeix l’adequació als convenis internacionals signats per l’Estat espanyol.
Willemyns, Amanda Jo-Anne. « Under the carpet : the politics and trauma of patient harm ». Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/46266/1/Amanda_Willemyns_Thesis.pdf.
Texte intégralOLIVEIRA, Nuno Manuel Pinto. « O direito geral de personalidade e a "solução do dissentimento" : Ensaio sobre um caso de "constitucionalização" do direito civil ». Doctoral thesis, 2000. http://hdl.handle.net/1814/25956.
Texte intégralCHIEN, KUAN-YI, et 錢冠頤. « Re-examining 「Informed Consent」 in Medical Criminal Law ». Thesis, 2017. http://ndltd.ncl.edu.tw/handle/2q94r4.
Texte intégral國立臺北大學
法律學系一般生組
105
To protect patients’ self-determination (autonomy), informed consent imposes a duty upon physicians to share information with their patients before getting consent. When a physician doesn’t obtain a patient’s consent or even goes against the patient’s medical will in violation of the doctrine of informed consent, the physician maybe will be subject to criminal accusation, and there is a huge gap between the legal and medical professions. First, this thesis discusses the meaning of medical behaviors, analyzes the position of medical behaviors in criminal law and the relation between medical behaviors and justification. Second, this thesis introduces the history of patients’ self-determination and has relations with informed consent. And then analyzing the physician’s obligation to explain and the patients’ consent. At last, some important judgments have indicated that the physicians who have not implement their duty to warn, before they start invasive medical treatments, will commit the criminal duty. But the violation of informed consent is still a controversial issue, so this thesis try to Re-examining the 「Informed Consent」 in Medical Criminal Law.
JHU, YU-CHEN, et 朱育辰. « The Inapplicability of Informed Consent to Medical Criminal Law - The Position of Patients’ Consent in Medical Criminal Law ». Thesis, 2018. http://ndltd.ncl.edu.tw/handle/azwej4.
Texte intégral國立臺北大學
法律學系一般生組
106
The development of informed consent is to guarantee the right of patients’ self-determination. It is generally accepted by the general public that doctors should obtain patients’ consent by informing the medical treatment. And doctors’ explanation of medical behaviors to patients is also called doctors’ duty of disclosure. With the bad communication between doctors and patients is lead to the increasing of the medical lawsuits. Especially, doctors will be subject to criminal accusation by violating the doctrine of informed consent. However, whether doctors violate the right of patients’ self-determination or not, it doesn’t necessary to commit an intention or negligent crime. In order to establish a correct value, this thesis will based on related academic studies, and recent judgements by the Supreme Court. Furthermore, this thesis will in Chapter II & III to discuss the meaning of medical behaviors and informed consent. Second in Chapter IV & V, this thesis will analyze the position of patients’ consent in medical criminal law and explain the reasons about informed consent isn’t apply for medical criminal law. Last but not least, well doctor-patient relationship and communication is the best way to protect patients’ autonomy, rather than wants to put doctors to the jail.
Kettle, Nancy M. « Informed consent : its origin, purpose, problems, and linits ». 2002. http://purl.fcla.edu/fcla/etd/SFE0000041.
Texte intégralLee, Guan-Yi, et 李冠儀. « Informed Consent of the Minors and the Abuse of Parental Rights in Medical Law ». Thesis, 2018. http://ndltd.ncl.edu.tw/handle/u62333.
Texte intégral國立臺灣大學
法律學研究所
106
This thesis, written through methods of literature reviews, comparative analysis, and case studies, focuses on the medical decision-making concerning minors, trying to discuss minors’ rights of self-determination in medical field and to discuss the limits of parental rights in each case. The medical decision-making of minors involves several interested parties, including parents, state, and minor him or herself. Parents can make medical decisions for their minor children because of their parental right. Parental right is a right of altruism. The reason of the existence of parental right is to maintain family autonomy, and to let the minors be raised in family, which is the best place for one to develop his or her own personality. The reason the state intrudes into the medical decision concerning minors is due to the concept of “parens patriae”. Because minors can’t defend their own rights, when they are infringed by a third party, state must intrude to provide protection for minors, otherwise the rights of minors written in statutes can’t be carried out. As to whether a minor can make medical decision for him or herself, it still remains a controversial issue, since the medical law in our country doesn’t admit the right of self-determination of the minors. However, self-determination is the core concept of human dignity, so the minors shouldn’t be deprived of this right. And from the perspective of comparative law, both the British law and the American law admit the medical decision-making right of minors who have enough understanding, intelligence and maturity, with British law developing the concept of “Gillick competence” and American law developing the principle of “mature minors” through case laws. Through the cases of the refuse of blood transfusion of Jehovah’s witnesses, male circumcision of infants, and live donation, this thesis tries to figure out whether a minor can make his or her own medical decision? How to define competence? Whether parents’ conducts constitute abuse? Can the state limit the rights of parents? How to coordinate the different opinions of these interested parties? What exactly is the content of the best interest of minors? Hoping that through this study, a more comprehensive protection of the rights of minors can be given, and a better direction of improvement both in the field of court practices and legislation can be pointed out.
Gasa, Nolwazi Bright Khanyisile. « Cultural conceptions of research and informed consent ». Thesis, 1999. http://hdl.handle.net/10413/5843.
Texte intégralThesis (M.A.)-University of Natal, Pietermaritzburg, 1999.
Chima, Sylvester Chidi. « An investigation of informed consent in clinical practice in South Africa ». Thesis, 2018. http://hdl.handle.net/10500/24545.
Texte intégralJurisprudence
LL. D.
Turrell, Sheri Lynn. « Capacity to consent to treatment in adolescents with anorexia nervosa ». 2004. http://link.library.utoronto.ca/eir/EIRdetail.cfm?Resources__ID=94692&T=F.
Texte intégralVanLandschoot, Toby W. « Orthognathic surgery patient values and professional judgments : a thesis submitted in partial fulfillment ... for the degree of Master of Science in Orthodontics ... / ». 2004. http://catalog.hathitrust.org/api/volumes/oclc/68962661.html.
Texte intégralLo, Yuan-Hsiu, et 羅元秀. « A Study on The Relation Between "Informed Consent" and "Arbitrarily Medical Behavior" Applied to The Criminal Law ». Thesis, 2014. http://ndltd.ncl.edu.tw/handle/45225298104809021418.
Texte intégral國立臺北大學
法律學系一般生組
102
In the the medical field , patient autonomy get more and more attention nowadays, and have been carried out on the doctrine of informed consent which were included in medical law. However, before performing medical practices, we are not sure whether physicians do not fulfilling "the doctrine of informed consent" will affect their criminal responsibility, which is a different debate between the practice and the academia. In this paper, through collecting, collating the current theory of literature and compare opinions of the current practice, to find the relation between "Arbitrarily Medical Behavior" and "Informed Consent" applied to the criminal law. First, the article discusses the meaning of the doctrine of informed consent including whether or not physicians inform, patients consent of medical field, and try to submit legislative proposal to clarify vague standard. Because the doctrine of informed consent is designed to protect patient autonomy, patient autonomy is belong to patients, and only they can exercise their rights. According to this description, the right of informed consent which does not only belong to the patients themselves has been a mere formality in medical law, so we must review it. And then discuss physicians do not fulfilling the doctrine of informed consent affect whether they found criminal responsibility. Last ,we must distinguish the situation is an emergency or non-emergency, and the kind and the degree of legally protected interest, and then we can judge a conduct of violating the doctrine of informed consent is illegal. Therefore, physicians’ medical practices which is violation of the patient's consent do not always illegal, we have to make a judgment according to the circumstances.
Adewale, Babatunde. « Assessing participants' understanding and voluntariness of informed consent in a clinical trial in Nigeria ». Thesis, 2012. http://hdl.handle.net/10413/9218.
Texte intégralThesis (M.Soc.Sc.)-University of KwaZulu-Natal, Pietermaritzburg, 2012.
Brindley-Richards, Lenna Getrinna. « South African stakeholders' perceptions of informed consent in HIV vaccine trials ». Thesis, 2008. http://hdl.handle.net/10413/962.
Texte intégralThesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2008.
Jacob, Marie-Andreé. « Consent, conversation, and the regulation of postmortem organ donation in a multicultural Canada ». 2000. http://wwwlib.umi.com/cr/yorku/fullcit?pMQ59546.
Texte intégralTypescript. Includes bibliographical references. Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pMQ59546.
Coetzee, Lodewicus Charl. « Medical therapeutic privilege ». Thesis, 2002. http://hdl.handle.net/10500/567.
Texte intégralJurisprudence
L.L.M. (Jurisprudence)