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1、Chapter11WhoDecides?InformedConsentforCancerPatientsinMexicoAlonsoCerda´n,AlejandroGonza´lez-Arreola,andEmmaVera´stegui11.1IntroductionTheAnglo-Americanmodelofappliedethics,notablyaspresentedbyL.BeauchampandJamesF.Childress(2009),hasdominatedinternationalbi
2、oeth-ics.Manyethicistsarguethattherearefundamentalethicalprincipleswhichshouldapplyacrossallculturesandallnations,buttheemphasisgiventopatientautonomyandinformedconsent(twofundamentalethicalprinciples)canseemverypeculiarformanyothercultures.AccordingtotheAm
3、ericanMedicalAssociation(2008),informedconsentis:...aprocessofcommunicationbetweenapatientandphysicianthatresultsinthepatientsauthorizationoragreementtoundergoaspecificmedicalinterventionTheCollegeofPhysiciansandSurgeonsoftheCanadianprovinceofAlberta(2002)co
4、nsidersthatapatientcompetenttogiveconsent(Grubbetal.2003:89):...if[thepatient]iscapableofunderstandingwhatisinvolvedinthemedicaltreatment,includingtheprocedureitself,itsconsequencesandtheconsequencesofnon-treatmentSeveralstudieshaveshownthatthewesternvalues
5、behindtheprincipleofpatientautonomycannotnecessarilybeappliedinauniversalmanner(Blackhalletal.2002).Young(2001)describesthewesternprincipleofautonomyasdemand-ingself-determination,assuminganindividualsubjectiveconceptionofthegood,A.Cerda´n(*)ProjectDirector
6、ofGESOCandYoungLeadersScholarshipRecipientoftheWorldBank,GESOCA.C.,MexicoDF,Mexicoe-mail:acerdan@gmail.comA.Gonza´lez-ArreolaDirectorofGESOC,MexicoDF,MexicoE.Vera´steguiPalliativeCare,SeniorAttendingPhysician,InstitutoNacionaldeCancerologia,MexicoDF,MexicoN
7、.HomedesandA.Ugalde(eds.),ClinicalTrialsinLatinAmerica:WhereEthics237andBusinessClash,ResearchEthicsForum2,DOI10.1007/978-3-319-01363-3_11,©SpringerInternationalPublishingSwitzerland2014238A.Cerda´netal.andpromotingthevalueofindividualindependence,andBlackh
8、alletal.(2001:59)makesthepointthat:Ethnicitywastheprimaryfactorrelatedtoattitudestowardstruthtellingandpatientdecisionmaking.Inmanycountries,theprincipalofautonomyisappliedbyinvolvingthefamilyindecisio
