The doctrine of informed consent is now recognized worldwide through several international guidelines and normative instruments. Based on respect for the dignity and autonomy of patients and research participants, it has been the subject of numerous publications for quite some time. In a globalized world where a variety of spiritualities and cultures are in close contact, the subject is discussed at length with respect to how it can be applied in all contexts, particularly in the context resulting from recent scientific and technological developments, especially in genetics and genomics. More specifically, the meaning and scope of the word “informed” is questioned more and more depending on the individual, group, or country to which it applies. This chapter examines the various challenges raised in the literature related to the use of this concept in a globalized world. It postulates that the answers to questions are not definitive, and that each possible solution must be based on the dialogue between all involved and on the respect and autonomy of the individual, even if the decision-making process may vary depending on the context in which research and medicine are practiced.
KeywordsHealth Literacy Bacterial Meningitis Adequate Information Scientific Development Advance Care Planning
The Canadian Commission for UNESCO generously contributed to the translation of this chapter.
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