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Record W4237068916 · doi:10.1136/qhc.0100029

Informed consent: moral necessity or illusion?

2001· article· en· W4237068916 on OpenAlex
L Doyal

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBMJ Quality & Safety · 2001
Typearticle
Languageen
FieldHealth Professions
TopicEthics in medical practice
Canadian institutionsRoyal Ottawa Mental Health Centre
Fundersnot available
KeywordsMedicineInformed consentIllusionEpistemologyAlternative medicinePsychologyCognitive psychologyPathologyPhilosophy

Abstract

fetched live from OpenAlex

There is a professional and legal consensus about the clinical duty to obtain informed consent from patients before treating them.This duty is a reflection of wider cultural values about the moral importance of respect for individual autonomy.Recent research has raised practical problems about obtaining informed consent.Some patients have cognitive and emotional problems with understanding clinical information and do not apparently wish to participate in making decisions about their treatment.This paper argues that such research does not undermine their potential to provide informed consent.Rather, suYcient resources are required to create better communication skills among clinicians and more eVective educational materials for patients.Finally, cognitive and emotional inequality among patients is maintained to be a reflection of wider social and economic inequalities.Researchers who take the right to informed consent seriously should also address these.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.024
metaresearch head score (Gemma)0.156
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Science and technology studies, Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.698
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0240.156
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0030.001
Scholarly communication0.0000.000
Open science0.0010.001
Research integrity0.0010.004
Insufficient payload (model declined to judge)0.0110.003

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.410
GPT teacher head0.620
Teacher spread0.210 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it