Universal consent form might help
http://www.100md.com
《英国医生杂志》
EDITOR—I wrote the "universal consent form" below a few years ago, but it now seems germane in view of the editorial by Furness and Sullivan on the new human tissue bill.1
"By signing this I agree that my doctor is a reasonable person, applying common sense and trying to do his or her best in circumstances for which society takes collective responsibility. My doctor will attempt to do the best possible, but I accept that nobody is perfect and human beings are only human. In particular, any effective treatment is not without side effects and all tests are fallible; in an attempt to reduce risks to a minimum, I understand drugs and procedures may have been tested on animals first. I accept that my doctor may not mention every possible side effect or complication because life is too short and he or she understandably wishes not to worry me unnecessarily.
"My doctors or their delegate(s) can access and make available to others anything of use to me, my situation, my family, or other humans or animals. For medical science to progress I accept clinical trials are necessary, but I will not complain if my case cannot be included in a clinical trial or study. Any tissue, gas, liquid, or solid removed, expelled, exhaled, evaporated, or derived from my body ceases to be my property; I understand that my body is no different from any other organism, in that ultimately all its components will be recycled in, for example, the carbon and nitrogen cycles.
"I agree to a postmortem examination of my body, given that that is the only way of finding out what really went wrong in the end, and that it will benefit society as a whole, if not my nearest and dearest as well. All this does not affect my right to sue for damages in case of, for example, negligence, but I take responsibility that the overall cost of thus disaffecting the system may ultimately be to mine and everyone else's disadvantage."3
Ian M Frayling, consultant in genetic pathology
Institute of Medical Genetics, University Hospital of Wales, Cardiff CF14 4XW ian.frayling@cardiffandvale.wales.nhs.uk
Competing interests: IMF is a doctor, pathologist, patient, and member of society.
References
Furness P, Sullivan R. The human tissue bill. BMJ 2004;328: 533-4. (6 March.)
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"My doctors or their delegate(s) can access and make available to others anything of use to me, my situation, my family, or other humans or animals. For medical science to progress I accept clinical trials are necessary, but I will not complain if my case cannot be included in a clinical trial or study. Any tissue, gas, liquid, or solid removed, expelled, exhaled, evaporated, or derived from my body ceases to be my property; I understand that my body is no different from any other organism, in that ultimately all its components will be recycled in, for example, the carbon and nitrogen cycles.
"I agree to a postmortem examination of my body, given that that is the only way of finding out what really went wrong in the end, and that it will benefit society as a whole, if not my nearest and dearest as well. All this does not affect my right to sue for damages in case of, for example, negligence, but I take responsibility that the overall cost of thus disaffecting the system may ultimately be to mine and everyone else's disadvantage."3
Ian M Frayling, consultant in genetic pathology
Institute of Medical Genetics, University Hospital of Wales, Cardiff CF14 4XW ian.frayling@cardiffandvale.wales.nhs.uk
Competing interests: IMF is a doctor, pathologist, patient, and member of society.
References
Furness P, Sullivan R. The human tissue bill. BMJ 2004;328: 533-4. (6 March.)