How changes in health care practices, systems, and research challenge the practice of informed consent.

Full Abstract

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.

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Author information

Author/s: Karlawish, Jason H T (JH); Fox, Ellen (E); Pearlman, Robert (R);

Affiliation: Department of Medicine, Division of Geriatric Medicine, University of Pennsylvania, Alzheimer's Disease Center, Philadelphia, Pennsylvania, USA. jasonkar(-atsign-)mail.med.upenn.edu

Journal and publication information

Publication Type: Journal Article

Journal: Medical care (Med Care), published in United States. (Language: eng)

Reference: 2002-Sep; vol 40 (issue 9 Suppl) : pp V12-9

Dates: Created 2002/09/12; Completed 2002/09/27; Revised 2005/12/12;

PMID: 12226581, status: MEDLINE (last retrieval date: 11/6/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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