Informed Consent

Acta Chirurgica Belgica

Volumn , Issue 4, 2000, Pages 169-174

  Callens, S ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BELGIUM; HUMAN; INFORMED CONSENT; INSURANCE; INTERPERSONAL COMMUNICATION; LEGAL APPROACH; LEGAL ASPECT; PATIENT ADVOCACY; PROFESSIONAL PATIENT RELATIONSHIP;

LEGAL APPROACH; PROFESSIONAL PATIENT RELATIONSHIP;

BELGIUM; HUMANS; INFORMED CONSENT; INSURANCE, LIABILITY; PATIENT ADVOCACY; TRUTH DISCLOSURE;

EID: 0034231787     PISSN: 00015458     EISSN: 25770160     Source Type: Journal    
DOI: None     Document Type: Article

References (82)

1. See Nys, "Draagwijdte en grenzen van 'informed consent'", Mededelingen Provinciale Raad Orde van Geneesheren Brabant, 1995-1996, p. 11.
2. See Zie VANSWEEVELT, Th., De civielrechtelijke aansprakelijkheid van de geneesheer in het Ziekenhuis, Antwerpen, Maklu, 1991, 206.
3. Sec article 398 Sw.
4. The statements by the doctor that he would like to carry out actions within the framework of the treatment can, with the implicit consent of the patient, be sufficient ; see VANSWEEVELT, o.c., 207.
5. See article 2 and 3 EVRM.
6. See article 5 EVRM and article 12 GW.
7. See VANSWEEVELT, o.c., 203 ; Rb. Nijvel, 5 September 1995, R.G.D., 1995, 299; Brussels, 24 December 1992, R.G.A.R., 1994, 12321 : T.B.B.R./R.B.D.C., 1995, 211-212, with footnote from VANSWEEVELT, Th.
8. See VANSWEEVELT, o.c., 203 ; Rb. Nijvel, 5 September 1995, R.G.D., 1995, 299; Brussels, 24 December 1992, R.G.A.R., 1994, 12321 : T.B.B.R./R.B.D.C., 1995, 211-212, with footnote from VANSWEEVELT, Th.
9. See VANSWEEVELT, o.c., 203 ; Rb. Nijvel, 5 September 1995, R.G.D., 1995, 299; Brussels, 24 December 1992, R.G.A.R., 1994, 12321 : T.B.B.R./R.B.D.C., 1995, 211-212, with footnote from VANSWEEVELT, Th.
10. Take good care that it is not because a medical treatment has the consent of the patient that this is justified. The principle of consent is a necessity but certainly not a sufficient condition for a medical operation. It is only when there is also therapeutic significance and when the operation follows the general conditions and possibly also following the legally specified conditions, that an operation with the consent of the patient will be justified.
11. Sec articles 372-378, 392-433, 453-457 Sw.
12. See VANSWEEVELT, Th., o.c., 264.
13. See article 1134, al. 3, B.W. ; see VANSWEEVELT, Th., o.c., no. 264.
14. See Memorie van Toelichting bij het Verdrag Biogeneeskunde, no. ...
15. See Brussels, 24 December 1992, R.J.A.R., 1994, 12328 ; T.B.E.R./ R.J.D.C., 1995, 208, with footnote from VANSWEEVELT, Th. ; see also Rb. Antwerpen, 13 May 1993, T.Gez./Rev. Dr. Santé, 1996- 1997, 190, with footnote from COLETTE-BASECQZ N., and VERHAEGEN, M.-N.
16. See Brussels, 24 December 1992, R.J.A.R., 1994, 12328 ; T.B.E.R./ R.J.D.C., 1995, 208, with footnote from VANSWEEVELT, Th. ; see also Rb. Antwerpen, 13 May 1993, T.Gez./Rev. Dr. Santé, 1996- 1997, 190, with footnote from COLETTE-BASECQZ N., and VERHAEGEN, M.-N.
17. See Brussels, 24 December 1992, R.J.A.R., 1994, 12328 ; T.B.E.R./ R.J.D.C., 1995, 208, with footnote from VANSWEEVELT, Th. ; see also Rb. Antwerpen, 13 May 1993, T.Gez./Rev. Dr. Santé, 1996-1997, 190, with footnote from COLETTE-BASECQZ N., and VERHAEGEN, M.-N.
18. See COLETTE-BASECQZ N. and VERHAEGEN M.-N., "Le devoir d'information du médecin et le consentement libre et éclairé du patient", footnote under Liège, 20 October 1994, T.Gez./Rev. Dr. Santé, 1996-1997, 186.
19. See Rb Antwerp, 13 May 1993, T.Gez./Rev. Dr. Santé, 1996-1997, 190.
20. See Antwerp, 9 November 1987, R. W., 1987-1988, 1336, with footnote from VANSWEEVELT, Th.
21. This, however, does not relieve the individual health provider from the obligation to give information, HENNAU-HUBLET, ..., 488.
22. See VANSWEEVELT, Th., o.c., 307.
23. According to Nys, nursing and paramedical information can be given regarding the treatments that they can legally do ; see NYS, H., Geneeskunde, Recht en medisch handelen, Brussels, E. Story Scientia, 1991, 121 (check).
24. See also VANSWEEVELT, Th.
25. See article 5 of the Verdrag Biogeneeskunde.
26. See Ghent, 11 March 1992, T.Gez./Rev. Dr. Santé, 1995-1996, 58 with footnote from VANSWEEVELT, Th.
27. See Ghent, 11 March 1992, T.Gez./Rev. Dr. Santé, 1995-1996, 58 with footnote from VANSWEEVELT, Th.
28. See also VANSWEEVELT, T.B.B.R./R.J.D.C., ..., 309.
29. T.Gez./Rev. Dr. Santé, 1996-1997, 192.
30. See Verdrag Biogeneeskunde, commentary no. 36.
31. See FAGNART, 264.
32. See article 5 Verdrag Biogeneeskunde.
33. See VANSWEEVELT, Th., o.c., 312.
34. See Verdrag Biogeneeskunde, commentary no. 34.
35. See Verdrag Biogeneeskunde, commentary no. 34.
36. See for example, Rb. Nijvel, 5 September 1995, R.R.D., 1995, 298.
37. See VANSWEEVELT, Th., o.c., 315.
38. Only the reasonable alternative treatments must be notified.
39. See Rb. Brussels, 5 May 1995, J.L.M.B., 1996, 431 : a patient with gastro-enteritis had a caloscopy performed and had not been advised of the risk of perforation. The judge ruled that they were talking about a very exceptional risk for which notification was not necessary. Contra : Rb. Nijvel, 5 September 1995, R.R.D., 1995, 299.
40. See Rb. Brussels, 5 May 1995, J.L.M.B., 1996, 431 : a patient with gastro-enteritis had a caloscopy performed and had not been advised of the risk of perforation. The judge ruled that they were talking about a very exceptional risk for which notification was not necessary. Contra : Rb. Nijvel, 5 September 1995, R.R.D., 1995, 299.
41. See Brussels 21 June 1967, G.T., 1968, 27.
42. See Antwerp, 9 November 1987, R.W. 1987-1988, 1336 with footnote from VANSWEEVELT, Th.
43. Rb. Nijvel, 5 September 1995, R.R.D., 1995, 298.
44. Sec VANSWEEVELT, Th., l.c., 329.
45. See Verdrag Biogeneskunde, commentary no. 35.
46. See VANSWEEVELT, Th., l.c., 335.
47. See VANSWEEVELT, Th., l.c., 322.
48. See VANSWEEVELT, Th., l.c., 291.
49. See FAGNART, 242.
50. See Brussels, 24 December 1992, R.J.D.C., 1995, 208, with footnote from van VANSWEEVELT, Th., R.J.A.R., 1994, 123828 :
51. See Brussels, 24 December 1992, R.J.D.C., 1995, 208, with footnote from van VANSWEEVELT, Th., R.J.A.R., 1994, 123828 :
52. Ghent, 11 March 1992, T.Gez./Rev. Dr Santé, 1995-1996, 54, with footnote from van VANSWEEVELT, Th.
53. See previous note VANSWEEVELT, Th., ...
54. See Ghent, 11 March 1992.
55. This judgement therefore confirms the view of VANSWEEVELT, according to which a doctor can only enlarge or change his planned operation without the consent of a patient in the case of an emergency situation (see VANSWEEVELT, Th., o.c., 256). This means that the violation must be dictated by its urgency, that the enlargement of the operation can only be if, without the operation, and within the borders of safe probability, the patient would die within a short foreseeable time and if an interruption of the operation would bring with it new complications or risks and finally, the operation will be interrupted if the unforeseen additional injury involves no immediate damage.
56. See Verdrag Biogeneeskunde, commentary no. 37.
57. See article 8, §2 of the law of 13 June 1986 ; for abortion, see article 350 Strafwb.
58. See Verdrag Biogeneeskunde, commentary no. 37.
59. See for normal risk-free treatments and tacit consent : Rb. Brussels, 5 May 1995, J.L.M.B., 1996, 431.
60. See article 5, §2 Verdrag Biogeneeskunde.
61. See Verdrag Biogeneeskunde, commentary no. 38.
62. See article 1315, §1 B.W. ; see also VANSWEEVELT, ...
63. See Cass, 25 February 1995, R.J.A.R., 1997, 12858.
64. See Rb. Nijvel, 5 September 1995, R.J.D., 1995, 300 : see, in a sense, also Rb. Antwerp, 13 May 1993, T.Gez./Rev. Dr. Santé, ..., 192.
65. See Rb. Nijvel, 5 September 1995, R.J.D., 1995, 300 : see, in a sense, also Rb. Antwerp, 13 May 1993, T.Gez./Rev. Dr. Santé, ..., 192.
66. See Rb. Antwerp, 26 February 1992, T.B.B.R., 1993, 401 : see Rb. Kortrijk, 3 January 1989, R.W., 1988-1989, 1171.
67. See Rb. Antwerp, 26 February 1992, T.B.B.R., 1993, 401 : see Rb. Kortrijk, 3 January 1989, R.W., 1988-1989, 1171.
68. See Antwerp, 15 June 1994, T.Gez./Rev. Dr. Santé, 1996-1997, 358 with footnote from TER HEERDT, J. ; see also COLETTE : 188.
69. See, for example, Rb. Brussels, 5 May 1995, G.L.M.B., 1996, 431.
70. See VANSWEEVELT, Th., l.c., 347.
71. Ghent, 11 March 1992, T.Gez./Rev. Dr. Santé, 1995-1996, 60 with footnote from VANSWEEVELT, Th. : see also Liège, 23 April 1980, R.J.A.R., 10351 with footnote from DALCQ, R.O.
72. Ghent, 11 March 1992, T.Gez./Rev. Dr. Santé, 1995-1996, 60 with footnote from VANSWEEVELT, Th. : see also Liège, 23 April 1980, R.J.A.R., 10351 with footnote from DALCQ, R.O.
73. See Rb. Antwerp, 13 May 1993, T.Gez./Rev. Dr. Santé, ..., 192, with footnote from COLETTE.
74. See DALCQ, R.O., note under Liège, 23 April april 1980, R.J.A.R., 1981, 10351 (check ; Rb. Brussels, 5 May 1995).
75. See VANSWEEVELT, Th., 353.
76. See before this VANSWEEVELT, Th., l.c., 355.
77. See VANSWEEVELT, Th.
78. This therapeutic exception can only be invoked in cases where the medical care is urgent and in cases where the therapeutic benefit of the operation is high. The justification for the therapeutic exception will be found in the legal character of the emergency situation (VANSWEEVELT, Th., 370) ; see also Ghent, 11 March 1992, T.Gez./ Rev. Dr. Santé, 1995-1996, 59, with footnote from VANSWEEVELT, Th. : The therapeutic exception to which the doctor appeals to support tris argument, holds good only in that a doctor's information may be withheld when it is in the interests of the patient, namely when the provision of information would so upset the patient or make him so afraid, that he would no longer be in a stase to make a decision, (check Liège, 27 november 1971, J.T., 1974, 297).
79. This therapeutic exception can only be invoked in cases where the medical care is urgent and in cases where the therapeutic benefit of the operation is high. The justification for the therapeutic exception will be found in the legal character of the emergency situation (VANSWEEVELT, Th., 370) ; see also Ghent, 11 March 1992, T.Gez./ Rev. Dr. Santé, 1995-1996, 59, with footnote from VANSWEEVELT, Th. : The therapeutic exception to which the doctor appeals to support tris argument, holds good only in that a doctor's information may be withheld when it is in the interests of the patient, namely when the provision of information would so upset the patient or make him so afraid, that he would no longer be in a stase to make a decision, (check Liège, 27 november 1971, J.T., 1974, 297).
80. See also article 10.2 Verdrag Biogeneeskunde.
81. See Verdrag Biogeneeskunde, commentary no 68-70.
82. See VANSWEEVELT, Th., "Recente ontwikkelingen en twistpunten m.b.t. de medische aansprakelijkheidsverzekering", T.Gez./Rev. Dr. Santé, 1995-1996, 200.