Competence to Consent to Treatment and its Relationship to Legal Capacity

Vol.29,No.2(2021)

Abstract
This article addresses the issue of a patient’s ability to consent to treatment. This issue is analyzed in the context of the assessment of legal capacity under the Civil Code and seeks to highlight the fact that the strict application of the rules on legal capacity may be unduly restrictive for some people in the context of giving informed consent.
Therefore, the article seeks to offer a more appropriate solution that would better protect the interests of the subjects concerned. In this context are analyzed theoretical concepts of competence in detail to determine a person’s capacity to act, i.e. to assess their competence.
Based on a brief comparison, the article shows that in some states, the issue of a patient’s ability to consent (competence) is considered separately from their legal capacity to act and is more contextually defined.

Keywords:
Informed Consent; Competence; Legal Capacity.

Pages:
309–323
References

ABERNETHY, Virginia. Compasion, Control, and Decisions About Competency. American Journal of Psychiatry, 1984, roč. 141, č. 1, s. 53–58. ISSN 0002-953X. DOI https://doi.org/10.1176/ajp.141.1.53">https://doi.org/10.1176/ajp.141.1.53

ÁLVARO, Luis C. Competency: General principles and applicability in dementia. Neurología, 2012, č. 27, s. 290–300.

BAUMGARTEN, Elias. The concept of ´competence´ in medical ethics. Journal of medical ethics, 1980, roč. 6, č. 4, s. 180–184. ISSN 0306-6800. DOI https://doi.org/10.1136/jme.6.4.180">https://doi.org/10.1136/jme.6.4.180

BEAUCHAMP, Tom L. a James Franklin CHILDRESS. Principles of biomedical ethics. 6. vyd. New York: Oxford University Press, 2009, roč. xiii, 417 s. ISBN 978-0-19-533570-5.

BEAUCHAMP, Tom L. a Laurence MCCULLOUGH. Medical ethics: the moral responsibilities of physicians. Englewood Cliffs, N.J.: Prentice-Hall, c1984, xvi, 172 s. ISBN 01-357-2652-2.

DEN HARTOGH, G. Do we need a threshold conception of competence? Medicine, Health Care and Philosophy, 2016, roč. 19, č. 1, s. 71–83.

DOLEŽAL, Tomáš. Způsobilost nezletilých udělit souhlas s poskytováním zdravotních služeb. Časopis zdravotnického práva a bioetiky, 2018, roč. 8, č. 1, s. 48–61. ISSN 1804-8137.

DOLEŽAL, Tomáš. Právní povaha informovaného souhlasu a následky neúplného poučení z hlediska civilního práva. Časopis zdravotnického práva a bioetiky, 2019, roč. 9, č. 1, s. 55–72. ISSN 1804-8137.

DRANE, James F. Competency to give an informed consent: A model for making clinical assessments. JAMA, 1984, roč. 252, č. 5, s. 925–927. ISSN 1538-3598.

DRANE, James F. The Many Faces of Competency. The Hastings Center Report, 1985, roč. 15, č. 2, s. 17–21. ISSN 1552-146X.

ETH, Spencer. Competency and Consent to Treatment. JAMA, roč. 253, č. 6, s. 778–779. ISSN 1538-3598.

FADEN, Ruth R. a Tom BEAUCHAMP. A history and theory of informed consent. New York: Oxford University Press, c1986, xv, 392 s. ISBN 01-950-3686-7.

GLEIXNER-EBERLE, Elisabeth. Die Einwilligung in die medizinische Behandlung Minderjähriger. Eine arztrechtliche Untersuchung im Rechtsvergleich mit Österreich und der Schweiz sowie mit Blick auf das Internationale Privat- und Strafrecht. Berlin Heidelberg: Springer-Verlag, 2014, 554 s. ISBN 978-3-642-41930-0.

GRUBBS, Judith E. Women and the Law in the Roman Empire: A Sourcebook on Marriage, Divorce and Widowhood. London, New York: Routledge, 2002, 344 s. ISBN 0-415-15241-0.

GRISSO, Thomas a Paul S. APPELBAUM. Assessing competence to consent to treatment: A guide for physicians and other health professionals. Oxford University Press: New York, 1998. 211 s. ISBN 978-0-19-510372-4.

JACKSON, Emily. Medical law: text, cases, and materials. 4. vyd. Oxford: Oxford University Press, 2016, 1029 s. ISBN 978-0-19-874350-7.

JUEN, Thomas. Arzthaftungsrecht.Die zivilrechtliche Haftung des Arztes für den Behandlungsfehler – der Arzthaftungsprozess in Österreich. Wien: Manz Verlag, 2005. ISBN 978-3-214-10180-0.

KOPETZKI, Christian (Hrsg.). Einwilligung und Einwilligungsfähigkeit. Wien: Manz Verlag, 2002. ISBN-13 978-3214069285.

KOZIOL, Helmut. Fehlende Einwilligung des Patienten und Haftung in Österreich – Notwendigkeit neuer Lösungen? Medizinrecht. C. H. Beck, 2019, roč. 11, č. 37, s. 105–110. ISSN 0723-8886.

LAHEY, Tim a Glyn ELWYN. Sliding-Scale Shared Decision Making for Patients With Reduced Capacity. AMA Journal of Ethics, 2020, roč. 22, č. 5.

LAING, Judith M., Jean MCHALE, Ian KENNEDY a Andrew GRUBB (eds.). Principles of medical law. 4. vyd. Oxford, United Kingdom: Oxford University Press, 2017, 1328 s. ISBN 978-0-19-873251-8.

LIDZ, Charles W. et al. Barriers to Informed Consent. Annals of Internal Medicine, 1983, roč. 99, č. 4, s. 539–543. ISSN 0003-481. DOI https://doi.org/10.7326/0003-4819-99-4-539">https://doi.org/10.7326/0003-4819-99-4-539

MARSHALL, Helen The Mental Capacity Act: a review of the current literature. British journal of community nursing. Roč. 21, č. 8, s. 406-410. ISSN 1462-4753.

NAKONEČNÝ, Milan. Lexikon psychologie. Praha: Vodnář, 1995, 397 s. ISBN 80-85255-74-X.

OHLY, Ansgar. "Volenti non fit iniuria": die Einwilligung im Privatrecht. Tübingen: Mohr Siebeck, 2002, 503 s. ISBN 31-614-7793-6.

PARKER, M. Competence by consequence: ambiguity and incoherence in the law. Medicine and Law, 2006, roč. 25, č. 1, s. 1–12.

President´s Comission for the Study of Ethical Problems in Medicene and Biomedical and Behavioral Research. Making Health Care Decissions. Volume One: Report. Washington: U.S. Governement Printing Office, 1982, 196 s.

SALKOWSKI, Carl a Edward WHITFIELD. Institutes and history of Roman private law: with catena of texts. Clark, NJ: Lawbook Exchange, 1886, reprint 2008, 1048 s. ISBN 15-847-7903-9.

WEAR, Stephen. Informed consent: patient autonomy and physician beneficence within clinical medicine. Boston: Kluwer Academic Publishers, 1993, 168 s. ISBN 07-923-2029-8.

WHITE, Becky Cox. Competence to consent. Washington, D.C.: Georgetown University Press, c1994, 208 s. ISBN 978-087-8405-596.

ZIMMERMANN, Reinhard. The law of obligations: Roman foundations of the civilian tradition. Cape Town: Juta, 1990, 1241 s. ISBN 90-654-4673-7.

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