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• W1423393313 abstract "In the United States, the modern era of jurisprudence regarding informed patient consent to medical diagnostic and treatment interventions began in 1972 with the District of Columbia Circuit Court’s opinion in Canterbury v. Spence [1]. That judicial decision substantially solidified and enlarged physicians’ obligations to share information with patients (or their surrogates) about certain risks, benefits, and alternatives to be taken into account in patients’ decisionmaking processes about whether to permit or refuse particular medical interventions. For the past two and a half decades, both American jurisprudence and actual medical practice have struggled with Canterbury’s numerous philosophical and practical ramifications and have evolved in response to that decision and its judicial and legislative progeny [2–4]. Many other countries are now in considerably earlier stages in their own evolutionary processes regarding the doctrine of informed consent in the medical context, e.g. [5,6]. For example, a patient’s right to give or withhold consent to medical intervention, and the physician’s corresponding responsibility to empower the patient’s informed exercise of that prerogative, was not officially recognized in France until a ruling to that effect was issued by its highest court (la Cour de Cassation) on February 25, 1997. In reaction to this judicial pronouncement, the Institut d’Etudes des Politiques de Sante of the University of Paris VI Faculte de Medicine was commissioned by the French government to convene an invited, multidisciplinary seminar on October 22 and 23, 1998 for the purpose of formulating legislative and other kinds of recommendations on implementation of the informed consent doctrine in France. At this seminar, entitled “Informed Consent to Health Care: Opportunities, Liabilities and Illusions” this author was invited to describe the US experience (and to do it in fifteen minutes). Based on preparation for that assignment, audience reactions to my remarks, and my reflections about the group dynamics and group discussion that unfolded during this two-day event, I am emboldened to take on a markedly complex and multifaceted subject and to try to distill some key lessons from the extensive American experience with the idea and the reality of informed consent. I offer these lessons for the benefit of nations in which the notion of some degree of patient choice and control over one’s own medical care is just now emerging [7]." @default.
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• W1423393313 title "Developing and implementing an informed consent jurisprudence: lessons from the United States" @default.
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