Title |
Why is it hard to make progress in assessing children’s decision-making competence?
|
---|---|
Published in |
BMC Medical Ethics, January 2015
|
DOI | 10.1186/1472-6939-16-1 |
Pubmed ID | |
Authors |
Irma M Hein, Pieter W Troost, Alice Broersma, Martine C de Vries, Joost G Daams, Ramón J L Lindauer |
Abstract |
For decades, the discussion on children's competence to consent to medical issues has concentrated around normative concerns, with little progress in clinical practices. Decision-making competence is an important condition in the informed consent model. In pediatrics, clinicians need to strike a proper balance in order to both protect children's interests when they are not fully able to do so themselves and to respect their autonomy when they are. Children's competence to consent, however, is currently not assessed in a standardized way. Moreover, the correlation between competence to give informed consent and age in children has never been systematically investigated, nor do we know which factors exactly contribute to children's competence.This article aims at identifying these gaps in knowledge and suggests options for dealing with the obstacles in empirical research in order to advance policies and practices regarding children's medical decision-making competence. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Japan | 1 | 25% |
Brazil | 1 | 25% |
Unknown | 2 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 75% |
Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Germany | 1 | <1% |
Unknown | 136 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 20 | 15% |
Student > Bachelor | 20 | 15% |
Researcher | 12 | 9% |
Other | 11 | 8% |
Student > Ph. D. Student | 11 | 8% |
Other | 37 | 27% |
Unknown | 26 | 19% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 35 | 26% |
Nursing and Health Professions | 21 | 15% |
Psychology | 19 | 14% |
Social Sciences | 10 | 7% |
Arts and Humanities | 4 | 3% |
Other | 19 | 14% |
Unknown | 29 | 21% |