393 KB60 KB2026Garayová, Lillaletnik:19številka:2str. 377–398ISSN:2463-7955COBISSID_HOST:294807811URN:URN:NBN:SI:doc-5X24W7H8enUniversity of Maribor PressMedicine, law & societyhuman rights in health careinformed consentpatient autonomysupported decision makingvulnerabilityBeyond consent| self-determination and protecting high-risk patients in health care|Modern healthcare is built on the principle of informed consent which is the basis of patient autonomy and self-determination. However, this model has its very clear limits when applied to high-risk and vulnerable patients whose decision-making capacity is impaired. This study examines what lies behind consent in healthcare and asks how legal systems can protect high-risk patients without undermining their dignity, agency and human rights. The analysis adopts a comparative legal approach. It relies on international instruments and national examples from diverse legal traditions. The article argues that vulnerability should not serve as a justification for paternalism or uncontrolled coercion. Going beyond consent does not mean abandoning autonomy, it means reconceptualizing it in a way that ensures selfdetermination and protection for those most vulnerable in health care systemsSodobno zdravstvo temelji na načelu prostovoljne privolitve, ki je podlaga za avtonomijo in samoodločanje pacientov. Vendar ima ta model zelo jasne omejitve, ko se uporablja pri visoko ogroženih in ranljivih pacientih, katerih sposobnost odločanja je omejena. Študija preučuje, kaj se skriva za privolitvijo v zdravstvu, in zastavlja vprašanje, kako lahko pravni sistemi zaščitijo visoko ogrožene paciente, ne da bi pri tem ogrožali njihovo dostojanstvo, avtonomijo in človekove pravice. Analiza uporablja primerjalno-pravni pristop. Opira se na mednarodne instrumente in nacionalne primere iz različnih pravnih tradicij. Članek zastopa stališče, da ranljivost ne sme služiti kot utemeljitev za paternalizem ali nekontrolirano prisilo. Preseganje soglasja ne pomeni opustitve avtonomije, temveč njeno ponovno opredelitev na način, ki zagotavlja samoodločanje in zaščito tistih, ki so v sistemih zdravstvenega varstva najbolj ranljiviTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverza v Mariboru, Pravna fakulteta