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Palliative Medicine, Vol. 21, No. 1, 55-57 (2007)
DOI: 10.1177/0269216306073699

Ethical issues arising from the requirement to provide written information in palliative care

I Plu

Service de Mèdecine Lègale, Hôpital Gènèral, Centre Hospitalo-universitaire, Dijon and Laboratoire d’Ethique Mèdicale et de Mèdecine Lègale, Universitè Paris V Renè Descartes, Paris

G Moutel

Laboratoire d’Ethique Mèdicale et de Mèdecine Lègale, Universitè Paris V Renè Descartes, Paris and Institut International de Recherche en Bioèthique, Universitè Paris V Renè Descartes, Paris, isabelle.plu{at}chu-dijon.fr

I Purssell-François

Service de Mèdecine Légale Hôpital Gènèral, Centre Hospitalo-universitaire, Dijon and Laboratoire d’Ethique Mèdicale et de Mèdecine Lègale, Universitè Paris V Renè Descartes, Paris

N Lapidus

Laboratoire d’Ethique Mèdicale et de Mèdecine Lègale, Universitè Paris V Renè Descartes, Paris

F Ellien

Soins Palliatifs Essonne Sud Network

C Manaouil

Laboratoire d’Ethique Mèdicale et de Mèdecine Lègale, Universitè Paris V Renè Descartes, Paris and Consultation de Mè decine Lègale, CHU, Amiens

C Hervè

Laboratoire d’Ethique Mèdicale et de Mè decine Lègale, Universitè Paris V Renè Descartes, Paris and Institut International de Recherche en Bioèthique, Universitè Paris V Renè Descartes, Paris; with the help of the Soins Palliatifs Essonne Sud Network

French Healthcare Networks aim to help healthcare workers take care of patients by improving co-operation, co-ordination and the continuity of care. When applied to palliative care in the home, they facilitate overall care, including medical, social and psychological aspects. French legislation in 2002 required that an information document explaining the functioning of the Network should be given to patients when they enter a Healthcare Network. Ethical problems arise from this legislation with regard to providing terminal patients with explicit information upon their entry into the palliative phase of the disease, and requiring them to sign the document. It highlights the limitations of this practice, and the gap between the legislation and the nature of the physician-patient relationship in palliative care.

Key Words: ethics • healthcare networks • informed consent • networks • palliative care • physician-patient relationship


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