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Das Verh?ltnis von Selbstbestimmungsaufkl?rung und therapeutischer Aufkl?rung

機(jī)譯：自決教育與治療教育的關(guān)系

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摘要

In addition to the risk of treatment failure, the liability for elucidation errors forms the second pillar of medical care. An elucidation error occurs when the physician has not given the patient the necessary self-determination information. The self-determination investigation is intended to enable the patient to decide on his own responsibility whether he wants to undergo a specific procedure. The consent of the patient to a medical procedure is only effective if he has received a proper self-determination information beforehand. The doctor must prove that the patient has received a proper self-determination. Self-determination elucidation must be distinguished from the therapeutic elucidation. The therapeutic elucidation aims to avoid self-harming the patient and to lead him a therapy-friendly behavior. Therapeutic elucidation is assigned to the area of medical treatment, with all the consequences of evidence. Thus, inadequate or omitted therapeutic elucidation represents a treatment defect, which must in principle be proven by the patient. Against this background, the relationship between self-determination elucidation and therapeutic elucidation is becoming increasingly important.
機(jī)譯：除了治療失敗的風(fēng)險(xiǎn)外，闡明錯(cuò)誤的責(zé)任也是醫(yī)療保健的第二大支柱。當(dāng)醫(yī)師未向患者提供必要的自決信息時(shí)，就會(huì)發(fā)生闡明錯(cuò)誤。自決調(diào)查旨在使患者能夠自行決定是否要接受特定程序。只有事先獲得適當(dāng)?shù)淖詻Q信息，患者對(duì)醫(yī)療程序的同意才有效。醫(yī)生必須證明患者已接受適當(dāng)?shù)淖詻Q。必須將自決澄清與治療澄清區(qū)分開。治療性闡明的目的是避免對(duì)患者造成自我傷害，并引導(dǎo)他采取對(duì)治療有益的行為。對(duì)治療的解釋被分配給醫(yī)療領(lǐng)域，包括所有證據(jù)的后果。因此，治療方法的不足或遺漏表示治療缺陷，原則上必須由患者證明。在這種背景下，自決闡明和治療闡明之間的關(guān)系變得越來越重要。

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  • 作者

    Holland, Dario;

  • 作者單位
  • 年度 2017
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  • 原文格式 PDF
  • 正文語種 German
  • 中圖分類

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