How informed is the informed consent?
Consent from
informed consent
legal responsibility
patient right
Journal
Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
06
12
2020
revised:
21
02
2021
accepted:
12
03
2021
entrez:
29
7
2021
pubmed:
30
7
2021
medline:
30
7
2021
Statut:
ppublish
Résumé
Informed consent is a cornerstone of the ethics of modern medical care. In an ideal world, informed consent is a process of education - a conversation between a surgeon and a patient or family that allows the patient or family to make the best possible decision regarding care. The study was conducted with objectives of assessing information given to the patient before taking consent for surgery and determining the compliance to various contents of the consent forms. This was a prospective study over a period of 12 weeks in wards of various surgical departments of a 1000+ bedded tertiary care hospital. Patient interviews were conducted to assess their level of information and the consent forms were reviewed to assess the compliance. The overall level of information r4egarding various aspects among the participants was 75.14%. The level of information varied statistically with age, literacy level, annual income and the type of surgery. All the patients (100%) stated that they were informed about the current clinical condition/ problem, while only 34% were informed about risk and 26% about the alternative options. All the forms (100%) had a statement regarding the explanation of procedure to the patient/ guardian and none of the forms (0%) contained names of all practitioners performing the procedure. There is need to create awareness among doctors and also to educate patients regarding the importance of informed consent.
Sections du résumé
BACKGROUND
BACKGROUND
Informed consent is a cornerstone of the ethics of modern medical care. In an ideal world, informed consent is a process of education - a conversation between a surgeon and a patient or family that allows the patient or family to make the best possible decision regarding care.
OBJECTIVE
OBJECTIVE
The study was conducted with objectives of assessing information given to the patient before taking consent for surgery and determining the compliance to various contents of the consent forms.
MATERIAL AND METHODS
METHODS
This was a prospective study over a period of 12 weeks in wards of various surgical departments of a 1000+ bedded tertiary care hospital. Patient interviews were conducted to assess their level of information and the consent forms were reviewed to assess the compliance.
OBSERVATIONS
METHODS
The overall level of information r4egarding various aspects among the participants was 75.14%. The level of information varied statistically with age, literacy level, annual income and the type of surgery. All the patients (100%) stated that they were informed about the current clinical condition/ problem, while only 34% were informed about risk and 26% about the alternative options. All the forms (100%) had a statement regarding the explanation of procedure to the patient/ guardian and none of the forms (0%) contained names of all practitioners performing the procedure.
CONCLUSION
CONCLUSIONS
There is need to create awareness among doctors and also to educate patients regarding the importance of informed consent.
Identifiants
pubmed: 34322428
doi: 10.4103/jfmpc.jfmpc_2393_20
pii: JFMPC-10-2299
pmc: PMC8284237
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2299-2303Informations de copyright
Copyright: © 2021 Journal of Family Medicine and Primary Care.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Ann R Coll Surg Engl. 2017 Nov;99(8):645-649
pubmed: 29046092
Indian J Urol. 2009 Jul;25(3):343-7
pubmed: 19881130
Fam Med. 1994 Apr;26(4):244-9
pubmed: 8034143
Cancer. 2016 Feb 1;122(3):464-9
pubmed: 26505269
J Am Coll Surg. 2009 Apr;208(4):627-34
pubmed: 19476800
BMC Palliat Care. 2017 Jul 10;17(1):5
pubmed: 28693527
Am J Surg. 2017 Dec;214(6):993-997
pubmed: 28974311
Health Expect. 2016 Jun;19(3):751-61
pubmed: 25212709
J Med Ethics. 2013 Nov;39(11):676-80
pubmed: 23322682
Rev Esp Anestesiol Reanim. 1998 Apr;45(4):130-5
pubmed: 9646652
Health Soc Work. 2004 Feb;29(1):27-35
pubmed: 15024916
BJOG. 2004 Oct;111(10):1133-8
pubmed: 15383117
JAMA. 1996 Jan 10;275(2):152-6
pubmed: 8531314
J Bone Joint Surg Am. 2011 Oct 5;93(19):e114(1-7)
pubmed: 22005875
Can J Surg. 2017 Feb;60(1):69-70
pubmed: 28234594
J Am Coll Surg. 2016 Apr;222(4):717-8
pubmed: 26920991