97 KB43 KB192920262016Stražišar, BorutStražišar, Brankaštevilka:4letnik:85ISSN:1318-0347COBISSID:2393979URN:URN:NBN:SI:doc-8RDD1ZP9slSlovensko zdravniško društvoZdravniški vestnikinformed assentinformed consentinformirana privolitevinformirano soglasjepacientove pravicepravica do nevednostiright not to knowInformirano soglasje - pravica ali breme| Informed consent - a right or a burden|Informed consent is a legal instrument that was introduced in the research area to prevent possible abuses in human research. Almost a century later it was also introduced in general medicine outside the research area. Its a basic human right to decide about one's own body and thus also about possible interventions to the body. For decision-making, quality information is necessary. Co-deciding on the type of medical treatment would also result in a better outcome of such treatment (the patient would be more interested to cooperate in the treatment process). in the present practice, informed consent is mere a part of bureaucratic doctor-patient relation as a mode to prevent possible lawsuits. Taking into account other negative impacts on the patient, (sc. nocebo effect) it is justified to question whether informed consent is adequate and reasonable. The article presents some proposals that improve doctor-patient relationship and enable the patients to decide themselves how and to what extent they would execute their rights regarding medical treatmentsInformirano soglasje je institut, ki je bil sprva uveden v raziskovalni sferi zaradi preprečevanja zlorab raziskav na ljudeh. Slabo stoletje kasneje pa je bil ta institut uveljavljen v medicini tudi izven raziskovalne sfere. Gre za temeljno človekovo osebnostno pravico, da odloča o svojem telesu in posledično tudi o posegih v svoje telo. Za odločanje so potrebne tudi kvalitetne informacije. Soodločanje o načinu zdravljenja na podlagi kakovostnih informacij pa naj bi pripomoglo tudi k boljšemu izidu zdravljenja (pacient bi bil tako bolj zainteresiran sodelovati pri samem zdravljenju). Praksa pa je privedla do tega, da je informirano soglasje postalo zgolj del birokratizacije odnosa pacient - zdravnik in pa izključno obramba pred morebitnimi tožbami. Ob upoštevanju ostalih negativnih učinkov na pacienta (npr. ti. nocebo učinek) pa se resno zastavlja vprašanje o smiselnosti in ustreznosti informiranega soglasja. Prispevek daje nekatere predloge, ki razbremenjujejo odnos pacient - zdravnik, hkrati pa pacientu omogočajo, da se sam odloča, v kakšnem obsegu bo uresničeval svoje praviceTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo