Two models of implementing informed consent
C. W. Lidz, P. S. Appelbaum and A. Meisel
Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213.
The doctrine of informed consent has been controversial since its
inception. In spite of the professed ideal of improving physician-patient
communication, many commentators have argued that it interferes with the
relationship. However, the problem may not be the doctrine itself but
rather the manner in which it is usually implemented. This article
describes two different ways in which informed consent can be implemented.
The event model treats informed consent as a procedure to be performed once
in each treatment course, which must cover all legal elements at that time.
The process model, in contrast, tries to integrate informing the patient
into the continuing dialogue between physician and patient that is a
routine part of diagnosis and treatment. We suggest that the process model
has many benefits.
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