Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài:Medical Decision and Patient's Preference: ‘Much Ethics’ and More Trust Always Needed. | Int. J. Med. Sci. 2011 8 351 o IVYSPRING wBrnsno PLI International Journal of Medical Sciences 2011 8 4 351-352 Letter Medical Decision and Patient s Preference Much Ethics and More Trust Always Needed Dimitrios AnyfantakislX Emmanouil K Symvoulakis2 1. Primary Health Care Center of Kissamos Chania Crete Greece 2. Blood Donation Department University General Hospital of Heraklion Crete Greece H Corresponding author Dimitrios Anyfantakis MD MSc in Bioethics Primary Health Care Center of Kissamos Chania Crete Greece. E-mail danyfantakis@ Tel 00306937473215 Fax 00302822022532 Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License http licenses by-nc-nd . Reproduction is permitted for personal noncommercial use provided that the article is in whole unmodified and properly cited. Received Accepted Published Abstract There is much discussion on medical ethics literature regarding the importance of the patients right for self-determination. We discuss some of the limitations of patient s autonomy with the aim to draw attention to the ethical complexity of medical decision making in the everyday clinical practice. Key words autonomy informed consent medical decision making There is much discussion on medical ethics literature regarding the importance of the patients right for self-determination 1 . In practice this means that after a thorough recognition of possible risks and benefits within the suggested therapeutic option the patient makes his own free decision. However stepping between physician s obligation for optimal care and patient s preferences ethical difficulties are often raised 2 . Remarkably in a survey of physicians attitudes about life-sustaining interventions although respect for patient autonomy was highly valued by the physicians their actions were not always resulted cohesive to this principle 3 . In this brief .