Adib S M, Hamadeh G N
Department of Community Medicine, Kuwait University, Kuwait.
J Med Ethics. 1999 Oct;25(5):399-403. doi: 10.1136/jme.25.5.399.
To measure the preference regarding disclosure of a serious diagnosis, and its determinants, of the Lebanese public.
Non-random sample survey of 400 persons interviewed in health care facilities in Beirut in 1995.
Forty-two per cent of respondents generally preferred truth not to be disclosed directly to patients. Preference for disclosure was associated with younger age, better education and tendency to rapport-building with physicians. There were no meaningful associations between place of residence (urban/rural), level of religious practice, or religious affiliation, and preference for disclosure.
Under one plausible interpretation, this survey suggests that the expectation for concealment will decrease as the advantage of knowledge in better coping with disease is understood by an increasingly better educated public, and that the Lebanese public will increasingly come to expect direct and full disclosure of serious diagnoses.
衡量黎巴嫩公众对于严重诊断结果披露的偏好及其决定因素。
1995年在贝鲁特的医疗机构对400人进行的非随机抽样调查。
42%的受访者总体上倾向于不直接向患者透露真相。倾向于披露与年龄较小、教育程度较高以及与医生建立融洽关系的倾向有关。居住地（城市/农村）、宗教活动水平或宗教信仰与披露偏好之间没有显著关联。
根据一种合理的解释，这项调查表明，随着受教育程度越来越高的公众理解了了解疾病信息在更好应对疾病方面的优势，隐瞒的期望将会降低，并且黎巴嫩公众将越来越期望直接、全面地披露严重诊断结果。
