title: [Inappropriateness in ionizing imaging. The central node of the informed consent: from "event" model to "process" model].
abstract: The phenomenon of inappropriateness in ionizing imaging and medical interventions is large-scale and increasing. This tendency causes noteworthy damages to health and to patient's autonomy. Moreover, this trend causes a huge increment of health expenditures, waiting lists, organizational conflicts, judicial disputes, insurance compensations. The actual passive signature on unreadable templates of informed consent in the Italian hospital context constitutes, by a matter of facts, a central node of inappropriateness problem. This way to manage informed consent - "event" model - mortifies the patient's right to decide freely and deliberately, being him unaware of biological consequences of clinical-therapeutical interventions on himself and his progeny's health. Physician himself can generate arbitrary clinical acts, with heavy deontological and legal consequences. Hence, informed consent in ionizing imaging necessitates a particular "process" management, useful to convey a series of other clinical and organisational processes towards a full realisation of therapeutic alliance among physician and patient. This review aims at highlighting - in a juridical and communicative key - a range of tools which are applicable to contrasting the hospital abuse of ionizing radiations, for defending both patients' health and patients' dignity, being them primarily persons and citizens of a rule-of-law State.
authors: Istituto di Fisiologiaa Clinica, Pisa, Italy. antonio.dodaro@hotmail.com
authors: Antonio
authors: A
authors: Dodaro
authors: Virginia
authors: V
authors: Recchia
mesh_terms: D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence / Q000592:standards; D008962:Models, Theoretical; D017410:Practice Guidelines as Topic; D011839:Radiation, Ionizing; D012307:Risk Factors