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Hong Kong Baptist University

知情同意

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Full-Text Articles in Philosophy

知情同意臨床實踐實證研究--第一人稱視角的考察, Hua Chen, Yonghui Ma Jan 2017

知情同意臨床實踐實證研究--第一人稱視角的考察, Hua Chen, Yonghui Ma

International Journal of Chinese & Comparative Philosophy of Medicine

An informed consent document is vital for all surgical procedures and medical treatments. Proper documentation and counseling of patients is important for informed consent. Opinion polls conducted in this essay show that the majority of people in China today have accepted informed consent as a legally binding medical policy, yet they do not fully understand the ethical and legal connotations involved, particularly the idea of the patient’s autonomy. As a result, the patient’s own experience as a first-person narrative is often ignored and his/her subjectivity is blurred when his/her family’s subjectivity intervenes. According to the ...


臨床知情同意在中國的一些實踐及反思, Wenqing Zhao Jan 2013

臨床知情同意在中國的一些實踐及反思, Wenqing Zhao

International Journal of Chinese & Comparative Philosophy of Medicine

Informed consent is considered to be one of the most important conceptual developments in contemporary bioethics, and is strongly implicated in the regulation of clinical practices in the West. Over the past decade, the growing prevalence of both liberal arguments supporting individual autonomy and rights-based debates focusing on equality has brought the concept of informed consent into the purview of Chinese legislation pertaining to healthcare and clinical practice. However, most of the laws and regulations are made by Chinese authorities in ignorance of the concept’s ethical groundings. In addition, lawmakers have not taken into account the empirical reality and ...


基於儒家家庭本位思想的知情同意原則的思考, Xiangjin Kong, Mingjie Zhao Jan 2013

基於儒家家庭本位思想的知情同意原則的思考, Xiangjin Kong, Mingjie Zhao

International Journal of Chinese & Comparative Philosophy of Medicine

Opinion polls released recently show that the majority of people in China today think that informed consent in medical practice is necessary, with more than half favoring family decision making over individual, autonomous patient decision making. Based on these opinion polls, this essay argues that the liberalism and liberal individualism that emphasize individual autonomy do not square with the Confucian tradition.

The essay submits that the “family decision” model is designed to embody Confucian family ethics and maximize the benefit of family involvement in medical decision making. The family model includes both the patient and his or her close family ...


知情同意 ——不同文化,不同價值, Guoli Yang Jan 2012

知情同意 ——不同文化,不同價值, Guoli Yang

International Journal of Chinese & Comparative Philosophy of Medicine

In the West, informed consent is part of the legal conditions under which people are fully informed about or can participate in their own health treatment. It emphasizes the idea that patients are autonomous and have both the legal and moral rights to control their own bodies. However, in China the original intention of this concept has been changed. The idea of protecting the patient has become a means of protecting medical professionals when they fail to fulfill their duties. A moral dilemma occurs when “foreign” ideas and principles are “imported” into China: they lack the cultural and moral foundation ...


“扁鵲見蔡桓公”——對一則古代案例的倫理學回顧, Jianguang Wang Jan 2012

“扁鵲見蔡桓公”——對一則古代案例的倫理學回顧, Jianguang Wang

International Journal of Chinese & Comparative Philosophy of Medicine

Bian Que is the earliest known Chinese physician of the Pre-Qin era (ca. 700 B.C.E), whose name is often associated with physicians of the highest medical caliber. One legend tells of how when Bian Que was in the feudal state of Cai, he visited the Lord Huan and told him that he had a serious disease. The Lord Huan thought Bian Que was trying to profit from the fears of his patients and declined the offer for treatment. Eventually, Lord Huan’s condition got worse. The last time Bian Que went to see Lord Huan, he knew that ...


中國文化是否構成了對知情同意的挑戰?, Wei Zhu Jan 2009

中國文化是否構成了對知情同意的挑戰?, Wei Zhu

International Journal of Chinese & Comparative Philosophy of Medicine

Since its introduction into China as a bioethical principle, informed consent has been a controversial topic. Many doubt its adoptability in the Chinese context. They claim that in China, it is often the family and not the patient that makes the decision about patient care in real clinical practice or medical research. In addition, Chinese culture appears incompatible with the principle of informed consent. As a result, many scholars conclude that Chinese culture constitutes a challenge to the application of informed consent in China.

This essay contends that such an argument does not hold water, or at least, is not ...


知情同意的權利主體:儒家倫理視角下的考察, Tongwei Yang, Zhangqi Feng Jan 2008

知情同意的權利主體:儒家倫理視角下的考察, Tongwei Yang, Zhangqi Feng

International Journal of Chinese & Comparative Philosophy of Medicine

Informed consent has been a core principle endorsed by modern Western medical ethics. It involves patient-physician relationship as well as family relationship. It has been a focus of debates since it was introduced to the Chinese world whether informed consent is agreeable to the cultural ethos of China, and if not, whether it can be applied transculturally. This paper first discusses three principles in the policy of informed consent: 1. the principle of individual autonomy; 2. the principle of non-maleficence; and 3. the principle of effectiveness. Then the paper explores the issue informed consent within the framework of the Confucian ...


器官捐獻的家庭同意原則:儒家倫理的現代應用, Mingxu Wang, Wen Zhang, Xueliang Wang Jan 2008

器官捐獻的家庭同意原則:儒家倫理的現代應用, Mingxu Wang, Wen Zhang, Xueliang Wang

International Journal of Chinese & Comparative Philosophy of Medicine

Organ donation is the gift of an organ to help someone else who needs a transplant. Hundreds of people’s lives are saved each year by organ transplants. Yet the question remains: Who should give the priority in terms of donation procedures - the individual who feels a strong, personal commitment to offer his/her organ or the legal next-of-kin, i.e., the priority order of the family members? This has been greatly debated bioethical issue in China in recent years. Rather than emphasizing the right of individuals to decide what will happen after they die, or removing the burden of ...


履行知情同意原則在中國傳統倫理下的困境, Yan Li Jan 2008

履行知情同意原則在中國傳統倫理下的困境, Yan Li

International Journal of Chinese & Comparative Philosophy of Medicine

The informed consent has been practiced as a clinical and ethical principle for many years in China. With traditional emphasis on the family as a whole and a hierarchical social structure there is a strong ethic of indebtedness and obligations for one family member to others. Within this moral framework there is a special need for evoking a sense of self-restraint and communal responsibility towards the well-being of a family instead of an individual. As a result, the implementation of the informed consent in China sometimes takes a different direction. This paper intends to explore how traditional values systems, namely ...


知情同意與語境, Deyan Wang Jan 2002

知情同意與語境, Deyan Wang

International Journal of Chinese & Comparative Philosophy of Medicine

Understanding, being closely associated with the context, is the basis of realization of informed consent. Physician often complains that patients cannot well comprehend medical information, while patients are often unsatisfied with the explanatory statements and technical terms given by physicians. Since 1980s the emphasis in the studies of informed consent has shifted from what should be presented to patient to how to present the related information to patients. Besides being concerned with the meaning of the narratives of patients, physician should pay close attention to the connection of the medical facts or information and the everyday language, to maintain the ...


知情同意臨床實踐中倫理學技術研究, Guobin Cheng Jan 2002

知情同意臨床實踐中倫理學技術研究, Guobin Cheng

International Journal of Chinese & Comparative Philosophy of Medicine

Informed consent is an ethical technique which emphasizes using the existing cultural traditions, theoretical resources and legal instruments to analyze and solve the problems reasonably and effectively. Informed consent can thus play a significant role in adjusting the relationship between patients and physicians. As an ethical technique, it focuses on the method of applying various ethical resources and not simply on the combination of the logical consequence and criteria. In a democratic society, informed consent is a necessary requirement for the right-duty relationship between patients and physicians. Informed consent is seen as a prerequisite obligation to physicians and implies certain ...


病人自主性與家庭本位主義之間的張力, Jin-Cheng Lei, Zhi-Qing Xie Jan 2002

病人自主性與家庭本位主義之間的張力, Jin-Cheng Lei, Zhi-Qing Xie

International Journal of Chinese & Comparative Philosophy of Medicine

Family has a long history. With China's small-scale peasant economy and traditional cultural background for centuries, family has been the most basic unit of polity, economy, and socio-cultural life. Interests and rights of the individual are always placed below those of family; individual autonomy is often included in family autonomy. All this can be called familism. There are deeper and determining economic reasons for familism. The economy of the family is controlled by the head of the family or clan so that the individual usually has no independent economic measures to support his or her autonomous rights.

Informed consent ...


手術由誰簽字?--醫療行為中的家屬意見, Minsheng Fan Jan 1999

手術由誰簽字?--醫療行為中的家屬意見, Minsheng Fan

International Journal of Chinese & Comparative Philosophy of Medicine

The physician must obtain the patient's consent in order to make medical interference with the patient's body. For instance, the physician may not perform a surgical operation if the patient does not permit the operation. This is generally termed the practice of informed consent. However, there are different patterns of the practice of informed consent between the West and China. In the West the physician directly informs the patent and the patient signs the consent form for an operation. But in China the physician usually informs a family representative and the family representative signs the consent form. This ...


人類遺傳學家的社會責任, Huan-Ming Yang Jan 1999

人類遺傳學家的社會責任, Huan-Ming Yang

International Journal of Chinese & Comparative Philosophy of Medicine

The advances of the world-wide Human Genome Project and other research in this field have led to the explosion of knowledge about our genes which are so widely and deeply involved in our lives. The knowledge and related technologies have already made a great impact on the whole society.

Science is only good when it is applied to the society in a proper way. Science has proved itself a double-edged sword. The sword is in the hands of the scientists who should be closely observed by the public. As human geneticists, we should be the best to know that genes ...