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Postgraduate Medical Journal 2004;80:277-283; doi:10.1136/pgmj.2003.012799
© 2004 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.
Postgraduate Medical Journal 2004;80:277-283
© 2004 Fellowship of Postgraduate Medicine

MEDICAL ETHICS

Professional-patient relationships and informed consent

N G Messer

Correspondence to:
Correspondence to:
Dr Neil Messer
Department of Theology and Religious Studies, University of Wales, Lampeter, Ceredigion, SA48 7ED, UK; n.messer{at}lamp.ac.uk

ABSTRACT

Four theoretical ethical perspectives on professional-patient relationships—autonomy, justice, virtue ethics, and the ethic of care—are surveyed, and some of their implications for the informed consent requirement in health care are sketched out. The practical issues of competence to consent, adequate information, and voluntariness are reviewed, and examples are given of the ways in which the theoretical perspectives outlined earlier might inform practice in areas such as these. Finally, the situation of patients not competent to consent is considered in the light of the same theoretical perspectives.

Keywords: informed consent; consent; ethics of care; professional-patient relationships


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