PEDIATRICS Vol. 85 No. 1 January 1990, pp. 119-121
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Informed Consent: Influence on Patient Selection Among Critically III Premature Infants

JUAN N. WALTERSPIEL MD1

1 Division of Infectious Diseases, Dept of Pediatrics, UT Medical School at Houston, 6431 Fannin JFB 1739, Houston, TX 77030

Each clinical investigator must deal with the emotional burden of obtaining informed consent. The role resembles that of a sales person who must find the right way to communicate with potential customers. Procurement of extramural grant monies, academic pressures, and personal biases toward one form of treatment are motivations to secure consent. The "sales pitch" is frequently made with the emotional pressure of acute illness; medical issues and uncertainties must be simplified. The mandatory and often frightening legal jargon at the end of institutional consent forms is defused by remarks about the system or statement that being in a study provides protection and supervised care.

Submitted on June 6, 1988
Accepted on March 10, 1989




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