"Informed
consent" is a critical component of ethical medical care, and recent
legal decisions require that physicians ensure that their patients have
all the relevant information when making health-care
decisions. Factors that impede informed consent include:
providing false or misleading information; the
possible diminished
capacity of the patient; and whether the
decision is the result of undue influence. These issues are
especially prevalent when the patient (or decision maker) is
elderly, or when matters involve life-threatening or
end-of-life decisions.
Another matter
of importance for physicians is the ability to maintain an appropriate
doctor-patient relationship. Physicians who abuse or exploit
relationships with patients are not only associated with a greater
likelihood of medical mistakes, but also may be directly
causing harm. Medical schools, in an attempt to
combat the problem, offer specific instruction in how to create and
maintain professional doctor-patient relationships - and basic
licensure testing now requires that new physicians demonstrate these
skills. A physician who behaves offensively may face
complaints before the Board of Medical Examiners and
possible civil litigation.
Whether
it is a matter of informed consent or other betrayal of the
doctor-patient relationship, it may be helpful to
have knowledge of manipulation tactics, undue influence, and
the models for assessment. An expert in these areas may be
able to help hasten resolution.
Contact
us for more information.