查詢結果分析
相關文獻
- Newborn Screening: Should Explicit Parental Consent be Required?
- A Survey of Parental Consent Process for Newborn Screening in Taiwan
- 身體疾病住院患者之醫病溝通分析
- 病人自主與知情同意
- 疾病告知、知情同意與臨終關懷
- 培養醫學生具備倫理基礎之醫病溝通能力的新課程
- 臨床倫理病例討論(14)--臨床研究中的知情同意
- 「醫師,您獲得病患同意了嗎?」知情同意的倫理與實務
- 臨床倫理病案討論(7)--知情同意(Informed Consent)
- 遺傳檢測倫理議題及遺傳諮詢倫理準則
頁籤選單縮合
題 名 | Newborn Screening: Should Explicit Parental Consent be Required?=新生兒篩檢是否需要父母明確的知情同意 |
---|---|
作 者 | 黃美智; 林秀娟; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 44:3 民92.05-06 |
頁 次 | 頁126-129+180 |
分類號 | 417.517 |
關鍵詞 | 新生兒篩檢; 知情同意; 父母; 醫學倫理; Newborn screening; Informed consent; Parents; Medical ethics; |
語 文 | 英文(English) |
中文摘要 | 新生兒族群的先天及代謝疾病篩檢已在全世界及台灣實施數十年,但隨著新的遺傳科技之進展,越來越多的疾病可在尚無症狀時即被檢查出來,但卻不一定能獲得有效的治療。由於各類新生兒篩檢的利益及危機尚未完全被确認,而使其面臨倫理及法律儀題的挑戰。本文針對新生兒篩檢之知情同意議題,將探討新生兒篩檢需要何種程度的知情同意?明确的知情同意過程之需要性?進而探討無明确的知情同意是否有法律條文的支持?本文介紹新生兒篩檢及其執行方式(強制或自願)、是否需明确的知情同意之正反爭議、將新生兒篩檢知情同意隱含於其他相關治療或檢查步驟之可能性、及新生兒篩檢之訊息提供的原則。綜合相關文獻,本文總結除子傳統之常篩檢的知情同意方式是不被接受的;醫療人員應充分提供父母有關新生兒篩檢的利益及風險的資訊,并使父母了解其有拒絕的權利。最後,由於現有之法律條文并未能證明新生兒篩檢可無明确的知情同意過程,藉由列入立法項目并允許特定之新生兒篩檢可無明确的知情同意是未來必要的行動。 |
英文摘要 | Newborn screening, the first population -based metabolic screening program has been universally conducted for several decades. With the advent of genetic technologies, many genetic/metabolic disorders can be detected pre-symptomatically but might be untreatable. Since the benefits and risks of screening tests on newborns are not fully known, newborn screening programs confront both legal and ethical challenges. This article aims to explore the following questions: (1) Is explicit parental consent required? (2) What level of consent should be sought? and (3) Is screening in the absence of explicit consent legally defensible? This article considers: (1) the introduction ofnewborn screening, (2) the conditions under which it is conducted (voluntary vs. mandatory), (3) the argument over whether explicit parental consent is required, (4) the conditions under which implied consent may be assumed, and (5) the principles of informing parents. This article concludes that implied consent is not acceptable except for traditional routine screening. Health care professionals shouldprovide information about the known benefits and risks of testing and recognize the parental right of refusal. Finally, since the absence of explicit parental consent to newborn screening is not legally defensible, children’s advocates should lobby for legislation permitting it in the absence of explicit consent in specIc circumstances. |
本系統中英文摘要資訊取自各篇刊載內容。